BENEFITS & ELIGIBILITY VERIFICATION
The most crucial part of any revenue cycle service is benefits and eligibility verification. We make sure your patient’s plan has coverage for the procedure that you are about to perform. This eliminates all eligibility related denials and increases revenue by at least 7-10%.
physician practice management
CODING & SUBMISSION
Claims are scrutinized ensuring maximized reimbursements without over-coding which is one of the ways we typically increase clients’ revenue by 10% – 20%. We maintain a nearly 100% success rate on first attempt HCFA and UB clearinghouse claims with workers compensation and No-Fault available as well. We stay on top of all the latest coding updates.
AR FOLLOW UP
We all know that Insurances will deny claims, Thus AR follow-up is the most critical part of any billing workflow. Accounts receivables follow-up ensures timely turnaround of rejections and denials. Here at Genesis Diagnostics, we make sure that maximum resources are allocated to the AR follow-up team so that a high number of submitted claims can be timely followed up on to enable quick action and reworking of the denials.
We make sure your AR experiences minimal denials. Our experts have extensive experience in overturning all types of denials, right from medical necessity denials, maximum benefits exhausted, additional documents required, coding related denials, patient benefit related denials, prior authorization issues, EDI issues, our team is adept at resolving and getting the denials overturned on time, effective, affirmative follow up and extensive appeals.
APPEALS / MEDICAL NECESSITY
We have a dedicated appeals and reconsiderations team that works closely with the AR team. The team has both pre-set and customizable appeal formats for each and every type of denial. Extensive appeals including the proper information, submitted on time can have a huge impact on overturning the most complicated denials effectively.
Benefits / Advice
We make sure all your explanations of benefits and Electronic remittance advice are posted and reconciled daily to ensure an accurate end of day statement for your staff to review and access average growth in revenue. We have a two-ways quality system in place, ensuring and confirming all postings go through a level 1 and level 2 check before the final harmony report is generated.
With patient balances among the largest of the owed buckets, successfully collecting their balances after insurance and copayments is a must. We have what’s needed to help ensure getting every dollar from every patient. We handle patient statements and take calls from patients who have statement questions, also make polite calls to remind patients of their balances using all modes of communication including our portal and emails.
REVENUE ENHANCEMENT MEETS
We always keep our billing workflow highly transparent with the client. The Billing team’s workflow logins are shared with the client for complete transparency. All reports are shared weekly. We categories monthly REM sessions with the client to make sure we lay out a clear road map, going over all aging and revenue reports, showing the client exactly what we have planned to up their collections, thus revenue growth and assessment in the coming quarter.
GET A FREE PHYSICIAN PRACTICE WELLNESS REPORT
This no-obligation analysis is designed to assess your current billing processes.
Identify revenue opportunities and improve financial performance.
Why Genesis Diagnostics
Customizable RCM modules just for your business.
Fixed Insurance collections percentage charge.
R & D teams
The R & D team stays on top of all AMA and other industry updates.
Personalized service / SPOC availability at all times.
Complete Transparency / Daily / weekly reporting.
The complete suite of patient support services.
DO YOU HAVE BACKLOGS OR AGED AR?
Every practice, laboratory, or healthcare institution that presents insurance claims is battling whether a demon is called an AR or stuck AR. These are claims related to insurance declines, disclaimers, and other missing information that you are unable to do much about, either because of having fewer employees, your billing company is not putting in enough effort or resources, or simply because You have too much of your plate admin, which is billing.
This is the money you have lost. Money that could be collected and increased your bottom line.
We just have a simple solution to achieve it. Do not fire your biller or your billing team. No change in software and no extra cost to rent us. Just that old AR Surrender to us and let us gather on the denial and denial of those un-works. When you pay on that lost/aged AR, we are paid. easy.
OUR BACKLOG RECOVERY AND AGING EXPERTS!
15 years of RCM expertise, more than 500 practices across the country, a team of more than 150 expert billers, teach us everything we need to know about the most important aspect of RCM – Denial Management.
Every time we go to a practice billing, we made sure that we set a target of reducing the refusal percentage by a good 15-18% in the first quarter and were proud to say that we would do it even once. Failed to achieve. This is exactly what gave birth to our credibility.