Revenue Cycle Management

MEDICAL BILLING, CODING, AND ACCOUNTS RECEIVABLE MANAGEMENT SERVICES

We understand that your Revenue Cycle Challenges are unique.
The healthcare revenue cycle is a complex maze of all administrative and clinical processes that are required to capture, manage, and collect the money for medical services rendered to patients. Transform your revenue cycle with Best Practices, AI tools and software’s, experienced and dedicated team.

RCM Services

01.

Benefits Eligibility

Patients come in for visits without paying any of their upfront responsibility (co-pays or deductibles) resulting in a huge AR. Your staff simply cannot keep up with the front operation and complete all the insurance eligibility in time.

02.

Charge Posting

The first step in a clean claim is to ensure demographic information entered in the system is 100% accurate. This will help eliminate any rejections or denials from the payer, which will prolong the reimbursement turnaround time.

03.

Documentation Review

Once the encounter is locked; the coding team retrieves a random sample of weekly notes and reviews of components of SOAP notes/encounters to ensure proper guidelines are followed and support the coding chosen on the superbill. Education is provided to doctors on their usage of CPTs/ICD-10s.

 
04.

Claim Submission

Do you have the resource to follow up on each and every unpaid claim? How about these claims with no reason for nonpayment? Do you know the right questions to ask? Or the right department to call and escalate to? Do you have the time to fight the battle with the insurance payers?

05.

Denial Management

Identifies unpaid claims or underpayments by payers at the individual claim level and appeal of up to three levels. Comprehensive analysis of your contracts, claims, and payments to find potential revenue opportunities.

 
06.

Payment Posting

Do you have AR that is ‘inflated’ due to unposted charges? Do you have piles of paper EOBs on your desk, simply unworked for months? Perhaps years! We can help you clean this up and get your AR up to date.

07.

Accounts Receivables Follow-up

Maintaining your accounts receivable at an acceptable level is paramount for your continued success, regardless of the size of your practice. Once claims begin to exceed 30-45 days of non-payment, you run the risk of reducing cash flow as well as being denied payments for a variety of reasons.

08.

Patient Collections

Our team addresses all the inbound patient calls related to self-payment responsibilities or questions related to patient account. We have a bilingual representative who also speaks Spanish to ensure proper communication is in place.

09.

Reporting

Numbers don’t mean anything without a translator! Our reports offer our practice understanding of where it is, weak points, and where it needs to be. We also show you how to get there by improving workflow processes and highlighting the opportunities available for growth.

10.

Coding Audits

Coding can be a very complex process for Providers. AAPC Certified Coders begin reviewing visit notes once they are locked and ensure the procedure codes and ICD codes are accurate and reflect what has been documented. 

11.

Account Management

Weekly calls with Account Managers is done to ensure all questions are addressed timely. Quarterly Business Reviews are also completed and an in-depth analysis is provided to gauge improvement over time.

DOS13 Corporation Aims To Transform Healthcare Business Processes By Applying Global Delivery, Technology, Automation, And Seasoned Professionals To Help Our Customers Achieve Market Leading Outcomes.