Accounts Receivable Analysis & Denial Management

Improvise your cash flow utilizing our Domain expertise and Innovative Technology Solutions

Accounts receivable plays an important role in managing the practice revenue cycle. Every year, hundreds of medical bills remain unpaid due to inefficient billing and follow up. At EPhysician Healthcare our Accounts Receivable and Denial management function has been designed to overcome these difficulties by increasing your cash flow and reducing the aging days. In order to ensure reduced lost re-imbursements and bring efficiency in collecting the unpaid dues, EPhysician Healthcare has put in systems and controls across the billing and collections process beginning from Coding till Claims submission. These controls enable submission of clean claims and minimize the percentage of denied claims.

We have proven track record in managing the practice revenue cycle and ensure 90% of your claims submitted to the payers are accepted during the First Pass. Our experienced staff analyze the denied claims… find the reason for the rejection and provide a permanent fix for your rejected claims.

We gather the practice financial data, apply our business intelligence tools and assess the financial performance of your practice and achieve the desired results. Below are few of our reports.

EPhysician Healthcare Benefits to our Clients

• Actual Collections Vs Projected Collections (Month or Year to Date)
• Productivity Impact on Collections
• AR Effort Analysis
• Actual Charges Vs Collection Analysis
• First Pass Comparison Analysis
• Payer Trend Analysis
• Denial Trade Analysis
• Practice Aging Reports
• 90+ Analysis Reports
• Practice Gross Collection & Net Collection Margins
• Unbilled Claims Analysis Report

Our Accounts Receivable and Denial Management services include

Insurance Follow up

We generate Aging report from the billing system, segregate by top payers and analyze each claim and ensure the outstanding claims are re-billed to the respective insurance companies with the corrective actions and track and follow up until it gets re-imbursed from the payers.

Denial Management

At EPhysician Healthcare we track the denied claims by generating the Payer wise denial status code report… analyze the reason for the denial and permanently fix the rejection across the all the claims for the payer and keep a tab on these claims until it gets paid. These trending methods helps us in identifying the gaps across the billing process and help fixing the errors and ensure the claims are accepted by the payers and get paid in a shorter period of time. Our staff monitors the payment pattern trend from different payers and set up an alert mechanism when deviation occurs.

Appeals for Denied Claims

At EPhysician Healthcare we follow a standard appeals process. Every claim that need to be appealed are thoroughly reviewed including the appealing limit etc… appeal letters are prepared with supporting documentation and placed in the shared folder for the client’s approval.

Patient Follow up

We follow up with patient’s in order to obtain the missing patient, insurance information and discuss regarding his or her outstanding collectibles. We have a dedicated in bound telephone number for answering the patient calls. Our experienced staff tracks the patient bills and follows up with each patient till the balance cash is received.

Old Accounts Receivable Clean-up Projects

At EPhysician Healthcare, we work on your old accounts receivables accumulated either by any back logs or unresolved or uncollectible balances left by your previous vendors. Once we receive the raw aging report from our client, we analyze and come up with an action plan in addressing the old collectibles and share the same with our client. Post approval from our client, we deploy our experienced staff and prioritize the old AR based on collection strategies and ensure quicker resolution of the claims. We share a weekly dash board report with our client highlighting the progress we are making in the old accounts receivable collections.

EPhysician Healthcare Benefits to our Clients

• Improved AR days – keep the AR days in control
• Efficiency across the Billing & Collections Process
• Experienced staff having exposure working with different Practice Management applications and multiple specialties
• On-shore and Off-shore presence with dedicated Account Manager
• Highly Competitive in Pricing
• Measurable AR tools