Payment Reconciliation & Credit balance Audits

Payment Re-conciliation & Credit Balance Audits

EPHY Healthcare Solutions serves as an extension for Healthcare RCM services focussing on healthcare providers, faculty practices & clinics by leveraging our expertise, technology and resources.
Our team will analyze each claim, identify the potential opportunities for cash, post refunds, make account level corrections to consistently maintain the overall integrity of your revenue cycle.
Causes for Credit balance :

• Credit balance occurs due to limitations in the provider & payer systems
• Incorrect Patient & Insurance Registrations
• Incorrect posting of Cash, Adjustments & Co-insurance
• Incorrect Patient Account postings
• Incorrect refund or reversal entries
• Duplicate charge & cash entries
• Incorrect updation or missing to update the COB(Co-ordination of benefits)

EPHY Healthcare Credit Balance Solutions:

Our team will analyze each claim, identify the potential opportunities for cash, post refunds, make account level corrections to consistently maintain the overall integrity of your revenue cycle Audit the claims in the system with supporting EOB’s and ERA’s Indentify incorrect/under paid claims and re-bill with supporting docs Completely secured and HIPAA compliant process.

• Our team will analyze each claim, identify the potential opportunities for cash, post refunds, make account level corrections to consistently maintain the overall integrity of your revenue cycle
• Audit the claims in the system with supporting EOB’s and ERA’s
• Indentify incorrect/under paid claims and re-bill with supporting docs
• Completely secured and HIPAA compliant process