Revenue Cycle Management
1. Patient Registration.
2. Charge Entry.
3. Entering and submitting primary and secondary commercial claims, up to six CPT lines per date of service.
4. Following up with insurance carriers and/or the clearing house to ensure acceptance of claims.
5. Checking the status of claims.
6. Payments posting.
7. Denial Management.
8. Tracking unpaid procedures and sending letters of Medical Necessity, as required.
9. Resubmitting claims to insurance carriers, if desired.
10. Producing Patient Statement.
11. Returned mails.
12. Refunds.
13. Notification to clients regarding Incomplete Claims.
14. Reconciliation.
15. Provider data updates.
16. Reports--
Monthly reports for,
a. Accounts receivable/pending.
b. Claims submitted.
c. Unable to bill out patients.
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