In the healthcare industry, facilities use the revenue cycle management (RCM) process to track patient care for billing purposes. The cycle begins with a patient’s admission to a facility and lasts through the final payment. Myoffice Answer full stack of RCM services meets the needs of any medical practice, group or hospital. Our customized RCM solutions cut through complexity with expertise, excellence and sophistication. Our customers can choose between a la carte services or the entire stack. We use proprietary medical coding software to enter and process all patient data. With quick turnaround, customers are assured of timely and accurate results. Our customers have complete access and transparency on our platform.
Referral Management & Patient In-take
We verify all the patient insurance and demographic details completely before updating in the medical billing software. This helps physicians understand their patient’s medical situations and recommend a certain course of action.
Insurance Eligibility & Prior Authorization
It is necessary to complete insurance verification before a patient receives medical services. We verify patient insurance coverage on all primary and secondary payers and update patient accounts so we verify that the required insurance criteria are correct or not.
Claims Confirmation & Error Resolution
We assign every patient accounts with the appropriate $ value as per the coding and with an appropriate fee schedule. Patient accounts are assigned with the Charges entered will determine the reimbursements for the physician’s service.
Claims Submission
Our team follows the medical billing claim submission process step by step such as payer services like member services, enrolment, provider credentialing, eligibility, claim administration, repricing transactions, adjudication, settlement EOB/EOP presentment.
Payment Posting
Our team identifies, manage and monitors the payment records of patients in the billing management software. They also classify the problematic areas and their reasons along with APT actions to be taken on resolving the issues.
Denial Management
We investigate every unpaid claim, uncover a trend by one or several insurance carriers, and appeal the rejection appropriately as per the appeals process in the provider contract. Also, we organize and identify errors before claims are submitted for payments.
AR Management
Our AR team continues to follow up on all claims until they are paid proportionately.
Our team is responsible for looking after denied claims and reopening
them to receive maximum reimbursement from the insurance company.
Referral Management & Patient In-take
We verify all the patient insurance and demographic details completely before updating in the medical billing software. This helps physicians understand their patient’s medical situations and recommend a certain course of action.
Insurance Eligibility & Prior Authorization
It is necessary to complete insurance verification before a patient receives medical services. We verify patient insurance coverage on all primary and secondary payers and update patient accounts so we verify that the required insurance criteria are correct or not.
Claims Confirmation & Error Resolution
We assign every patient accounts with the appropriate $ value as per the coding and with an appropriate fee schedule. Patient accounts are assigned with the Charges entered will determine the reimbursements for the physician’s service.
Claims Submission
Our team follows the medical billing claim submission process step by step such as payer services like member services, enrolment, provider credentialing, eligibility, claim administration, repricing transactions, adjudication, settlement EOB/EOP presentment.
Payment Posting
Our team identifies, manage and monitors the payment records of patients in the billing management software. They also classify the problematic areas and their reasons along with APT actions to be taken on resolving the issues.
AR Management
Our AR team continues to follow up on all claims until they are paid proportionately. Our team is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance company.
Denial Management
We investigate every unpaid claim, uncover a trend by one or several insurance carriers, and appeal the rejection appropriately as per the appeals process in the provider contract. Also, we organize and identify errors before claims are submitted for payments.
