Medical Billing Accounts Receivable & Collections
Contracted healthcare providers are paid accurately only 68% of the time. Claim Resolutions medical billing services can tip the scales in your favor as we fight tooth and nail for your revenue.
Revenue Rescue Past Due Accounts Receivable
According to the American Medical Association, the nation’s top three insurance carriers adhere to paying contracted payment rates only 68% of the time. This can result in you putting in more effort to obtain accurate payments while draining already stretched staff resources.
Despite the rising costs associated with delivering quality health care, the insurance companies have teams of experienced staff members working specifically to delay payments, and deny claims. As the complexities of the claim submission process evolve, effective revenue cycle management becomes an even more essential component of every profitable medical practice. Through our knowledge, skills, and experience, Claim Resolutions can reduce your claim rejection rates to less than 1%, and reduce the time waiting for reimbursement to less than 7 days.
Claims Scrubbing & Denial Defense
The best type of claims processing is that which prevents denials by scrubbing and optimizing claims prior to submission. After your patient encounter is complete, each claim is scrubbed through a sophisticated database containing millions of edits designed to avoid payer rejections. Diagnosis and procedure codes are verified, placed in the appropriate order, and validated for medical necessity. With the help of Claims Resolutions, your claims will be accepted for payment on the first pass. Any rejections and denials are dealt with immediately.
Claim Resolutions Helps You Get those “Difficult Dollars”
Contradictory goals of payers and healthcare providers result in a difficult reimbursement process. It is one in which the payers answer to shareholders while healthcare providers are forced to battle for reimbursement. In today’s economy, collecting “difficult dollars” makes all the difference. Our Revenue Rescue™ services tip the scales in your favor, as we fight tooth and nail for every dollar of receivables for you.
Minimize Billing Errors and Inquiries
Claim Resolutions will minimize errors and greatly reduce the chances for claim rejections, resulting in better turnaround time and higher revenues for your practice. We can reduce your rejection rates to less than 1%, and can increase your practice revenue by as much as 492%.
We Stay on Top of the Coding for You
Medical coding is a constantly evolving process, and ICD-10 is only going to make that process even more complicated. Claim Resolutions stays on top of the constantly evolving insurance reimbursement process. Our daily coding analysis will ensure the use of the most up-to-date and valuable codes and modifiers
Let Us Deal with the Insurance Companies and Government Agencies
Claim Resolutions mediates all matters pertaining to insurance claims management and processing. We also interface with insurance companies and other government agencies on your behalf, including processing paperwork that will be submitted for processing.