MID-END REVENUE SERVICES
Abcon's multi-pronged expertise and strategy in RCM prevent downstream challenges upfront. A high quality efficient clinical revenue integrity solution is critical for sustainable financial health of the hospital and provider group. We ensure accurate documentation and reinforce compliance culture and thus reduce revenue leakage and enhance revenue capture.
Charge Entry & Demographics
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Online Entry of Patient Details directly into billing software
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CPT-4 and ICD-9 Match performed before completing charges
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Quality team audits the final charges and the clean claims are filed
Claim Submission & Tranmission
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Claims are submitted electronically or paper claims as per instructions for both professional and Institutions.
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Claims are submitted with Improved data accuracy and HIPAA compliance thus reducing rejection rate and improve cash flow
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We connect you close to thousands of payers.
EDI Tracking
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Internet-based to track claims and payment status updates
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Run reports to track current and historical claim and payment statuses.
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Multiple level tracking reports are provided along with claim number are posted in client’s system for reference
Claim Reconciliation & Review
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Posting and capturing ERA & EOB of each payment in the client’s system ensuring that each check or EFT receipt is balanced
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Write offs, coinsurance and deductibles are calculated and patient liability is billed immediately upon EOB posting
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Posting of denial codes and forwarding to Denial Management Team