How we do it?
How we do it?
Analysis
- Billing and collection analysis
- Payer contract and payment analysis
- Fee schedule analysis
- Analysis of super bills as per the guidelines formulated by CMS and AMA
- Rejection and denial analysis
- Analysis of billing guidelines to streamline appeals and reconsideration processes
Audit & Tracking
- Audit of claims data to ensure optimal quality levels
- Rejection and denial forecasting
- Tracking of reimbursement rates and denial patterns
- Periodic review of payment variances and account status with physicians
Forecasting & Reporting
- Rejection and denial forecasting
- Month-end reporting to the management
Managing collections
- Electronic submission of bills
- Payment posting and account reconciliation (auto/manual) based on evidence retrieved from carrier
Why Tranquilmoney for RCM?
- Analytics
- We determine prior authorization for required services
- Our RCM services lead to accelerated cash flow, reduced AR days and improved collection ratio
- We obtain demographics and medical insurance information through a secured system
- We ensure prompt resolution of EDI rejections to increase the percentage of clean claims
- Aging analysis is done based on the age of claims
- Our timely and proactive measures palliate the adverse impact of denial rates
- We ensure strict adherence to turnaround time
- We offer AR Management with timely follow-up and corrective action
Why PracticeTracker™ for your Revenue Cycle Management needs?
