FRONT END

FRONT END REVENUE CYCLE

ELIGIBILITY VERIFICATION

We work our fingers to the bone to bridge medical billing and coding errors, optimize collections and reduce patient denials with our Eligibility Verification and Prior Authorization services. Failure to confirm eligibility and achieve prior authorization can lead to delayed payments and denials, resulting in decreased collections and revenues, which our team doesn’t stimulate whatsoever.

  • To receive payments for the services rendered and keep the healthcare revenues in check, healthcare providers need to verify each patient's eligibility and benefits before the patient's visit. To serve this purpose, we validate Patients’ insurance scope and enumerate their demographic data with the aid of Insurance Pat.
  • Accounts with fallacies are clarified via appropriate status codes. Our front desk at the corresponding site location helps the healthcare providers by revising the missing or invalid patients’ account information.
  • With the help of systematic Robotic Process Automation (RPA) tools- software that helps users to configure various tasks to get automated, we will upgrade the eligibility verification processes such as primary and secondary coverage details, including member ID, group ID, coverage period, co-pay, deductible, and co-insurance and benefits information to sew up coherent connections.
  • It avoids claim resubmission, reduces demographic or eligibility-related rejections and denials, increases upfront collections; leading to improved patient satisfaction and improved medical billing and coding.
  • Updated eligibility verification helps in better claim submission and lesser claim denials, hence better accounts receivables. It helps healthcare practices to maintain cash flow through the decrease in write-offs and improved patient care.

PATIENT REGISTRATION & APPOINTMENT

Effective Patient Scheduling in medical billing companies is not just about managing Patient Appointments. We get together to deliver effective capture of Patient information for determination of eligibility, obtaining prior authorization, and determining patient liability upfront is critical for improving collections. Additionally, the information captured during the process enables the caregivers to plan the delivery of care and reduce the long waiting time that patients typically experience. Therefore our Witzone techies focus on the patient engagement processes to be coordinated across multiple channels – Web, Phone, Portal, and even chat and pave way for the finer RCM services.

  • Using the analysis made, the Client Practice Management Software (PMS) System will be used to create or update the accounts for new patients or established patients respectively.
  • Accurate information about the patient is critical to ascertain the patient's eligibility and benefits, obtain prior authorization, and error-free claims filing. Additionally, population health analytics is possible only by utilizing accurate patient information.
  • The client's PMS system will be refurbished with claims built upon the coded super-bills. Optimal quality levels before claim submission are delivered after a meticulous audit of claims data.
  • We have trained our team of revenue cycle professionals to validate all information available in the face sheets. Our team contacts the provider's office or the medical billing company if any information is incomplete or erroneous in case of any discrepancies. Our team members enter the validated data on the client's practice management software with a high degree of accuracy and within a turnaround time of 24-48 hours.
  • We review and update the following information on the practice management system:
    • Demographic information
    • Medical information
    • Healthcare insurance
    • Payment information
  • Improve Productivity and Accuracy

    With guaranteed rcm service levels on accuracy and turnaround time, you can rest assured that the work performed by our team members is of a high degree of quality.

  • Account Management and Collaboration

    Our accounts receivable management team works with you to improve the Patient Registration process's overall efficiency and effectiveness. Our team coordinates with you through real-time portals, daily status reporting of the quality, and turnaround time. We duly reconcile each account so that the front and backend processes in the revenue cycle management healthcare chain do not get impacted due to any lapses in the process.

  • Medical Coding and Charge Entry

    The Patient Registration Process is often clubbed with Medical Coding and Charge Entry Processes, depending on the software functionality. At times, the process is performed by medical coders directly. At Medical Billing Wholesalers, we have a team of proficient medical coders who can complete charge entry across medical specialties and perform patient registration processes effectively.