Practice Management & Analysis

Practice Management expertise and guidance combining people, processes, and technology to ensure that practice finances are taken care, so you can focus on your area of medical expertise.

Our Only Motivation is Saving You Time and Money

Saving you -time and money is our only motivation, and the primary way we get paid. With that in mind, Claim Resolutions has developed a host of unique processes as part of Practice Advantage™. These processes are focused on improving your revenue and efficiency, while eliminating areas of wasteful spending. We custom tailor our solutions for you, leaving nothing to chance.

Comprehensive Evaluation to Improve Efficiency and Reduce Loss

The best way for Claim Resolutions to benefit your practice, is to understand your practice. We conduct a comprehensive evaluation of your systems and processes related to accounts receivable, along with practice management, revenue cycle management, efficiency, technology, staffing, and your insurance reimbursement process. With this evaluation, we empower your staff with an efficient workflow for effective billing and practice management to improve efficiency and reduce loss.

We Keep On Top of Ever-changing Payer Requirements for You

Ever changing payer requirements have made claim submission a constantly evolving process. Having Claim Resolutions on your side can mean the difference between a healthy revenue cycle and declining profits. New Federal, State, and CMS regulations mandate steep fines for non-compliance. Failure to conform to recent changes in CMS Mandatory Reporting Requirements may result in fines of $1,000 per claim, per day.

Revenue Cycle Management is About Getting You Paid for What You Do

Revenue Cycle Management, means taking steps to assure that you get paid for what you do and that you get paid in a timely fashion. The cycle starts when the patient calls your office for an appointment and your staff captures the patient’s name, phone number, and the name of their insurance company. The cycle ends when the balance on their account is zero. Claim Resolutions is committed to furnishing you with world class revenue cycle management solutions through the most innovative means possible.

The Key to Practice Advantage™ is Data Gathering

Some practices say they can’t afford to take the time on the phone when the patient calls for an appointment to collect insurance information. That means that you don’t get to verify the patient’s insurance coverage before the appointment. Pre-visit eligibility verification is a best practice that every your office should strive to accomplish. You can submit all patients on a day’s schedule in an electronic file and send it to verify eligibility for all appointed services (referred to as “batching”). Doing so will reduce the volume of denied claims.

Enhance your Practice Management with Automation

The revenue cycle process is enhanced with electronic claim submission and electronic remittance payment posting. Automated posting saves your staff time and resources. The quickest way to a zero balance is to automate those tasks that do not require your billing staff’s expertise. Claim Resolutions can also shorten the revenue cycle by helping you to offer your patients online bill payment and e-statements. E-statements cost less than 60% of the price of a paper bill to produce.