A/R describes the steps that are necessary to monitor and pursue the collection of payments from insurance payers. By monitoring the performance of A/R efforts and taking correct measures our proficient team can provide the early warning sign of any potential collection problems.
GeeseMed’s A/R team is the preferred option for your A/R follow-up and mgmt..
Our audit process is linked to the principles of a continuous quality check at every level. In addition to conventional auditing methods, we follow six sigma techniques to identify errors and reveal solutions by tracing the main causes. This assists to submit clean claims. As a result, increased income!
Our proficient team understands the criteria of the mistakes. We scrutinize for further detailing depending on the complexity of the claims.
We run various reports by payer and by patients to determine the outstanding amount, and then address the issues proactively. Follow-up is carried out aggressively by calling to gain the denial issues and determining a resolution.
We process denials, submission and re-submission rigorously until payments are received. Submission and re-submission of claims are prioritized to yield superior and rapid collection..
These claims would be processed on a priority basis as the claims need to be followed up on before exceeding the filing deadline.
The next focus would be on high dollar claims with low age as the chances of gaining collections increase.
These claims have a higher probability of collection.
These claims are given last priority as these claims have a lower probability of collection.
For unsettled disputed claims we submit a request to the payer, in order to bring attention to the incorrectly denied claims. Through an appeal process, we ensure that physicians are reimbursed for their provided services.
Monthly reports are extracted from GeeseMed electronically. These reports provide accurate projections regarding the anticipated cash flow of the practice. The customized report option gives an estimated collection for the services provided. GeeseMed also offers various options to the user per defined reports that list detailed information including each unpaid claim.
◾ With electronic payments, providers are reimbursed on a real-time basis reducing bad debt and a large accounts-receivable inventory.
◾ Higher collection rates at minimal time.
◾ Reduced write-off amounts.
◾ Ensures that providers bill properly and are paid properly and on-time.
◾ Providing end-to-end solutions at lower rates.
◾ The electronic storage of highly secure and private patient data is readily accessible by the appropriate individuals across the institutions and geographical areas.
◾ GeeseMed provides easy-to-use electronic interfacing and one-source retrieving of a master database.
Nothing is more critical to revenue cycle profitability than to have highly efficient accounts receivable and claims denial management processes in place. It is these revenue cycle processes that determine the difference between financial stability and merely struggling to make ends meet. Whether you outsource all of your revenue cycle management functions to GeeseMed, or just the critical AR and Denial Management tasks, you can count on our professional team and knowledge to bring you valuable net returns on the resources devoted to this most important aspect of your operation
In a nutshell, outsourcing your AR and Denial Management functions to GeeseMed team will net you greater income – minimizing lost reimbursements by maximizing your effectiveness at collecting unpaid claims. It’s the right value equation to get you the highest possible return on investment – it’s a service that more than pays for itself.
GeeseMed takes care of all the critical functions involved in AR management including filing of appeals, assessing insurance low pays, updating insurance contracts, managing unapplied balances, managing refunds, and processing patient statements and delinquency letters.
AR & Denial Management is extremely time-consuming and most practices (and billing companies) do not devote sufficient resources to adequately pursue maximum reimbursement services are highly functionalized and supported by software tools that typically produce a significant net gain in reimbursement for each client practice, making the decision to outsource this function a clearly positive value equation.
GeeseMed’s team of experts is always available to offer immediate support to you and your staff no matter what the issue or problem may be.
Minimize lost reimbursements and denials with highly efficient systems and services designed to meet your needs. Maximize your effectiveness at collecting unpaid claims. GeeseMed expertly tracks and manages timely follow up on all unpaid claims, ensuring that no time is lost on pursuing every reimbursement possibility.
GeeseMed dedicates specifically trained and experienced staff denial management, to undertake this very important work. The software tools we use allow for well managed and timely follow-up on all unpaid claims. These same tools allow for extremely detailed reporting, so that all denied claims are visible.
We’re here to help. Send us an email or call us at 812-248-9206 Toll free number 877-786-7604. Please feel free to contact our expert.