Prior to service being rendered by the provider, we verify the patient’s current insurance eligibility, update the patient’s account with current insurance eligibility status, and red flag any issues.
We initiate and aggressively follow-up on pre-authorizations with payers wherever required to ensure that clients can deliver their services to patients without fear of non-payment.
We follow a rigorous process of scrubbing claims during the charge posting process oriented towards maximizing first-time payments from insurers and minimizing denials.
Insurance payments are posted to patient accounts from the EOB. All payments received will be posted within 24 hrs. For payers who do not have Electronic Remittance (ERA), our team manually posts the insurance payments into the patient’s account matching the respective allowed amount for each charge.
All denied claims are analyzed, corrected, and re-submitted within two working days upon receipt of the EOBs.
We can guide practices in enrolling both underinsured and uninsured patients to foundation and PAP support programs.
All claims will be generated and filed either electronically or via paper as per payer standards. The acknowledgement of receipt of the claims by the insurer is checked to prevent any loss of claims.
We expertise in credentialing for Groups, Facilities, and Individual providers.
CrystalVoxx Ltd provides credentialing services at an hourly rate or by a monthly fixed cost per provider.
The Friendly Knowledgeable Revenue Cycle Management Staff, focuses on serving your patients. Our RCM experts work with healthcare organizations to reduce medical billing errors, boost collections, and increase cash flow.
Medical coding is the process of application of universal alphanumeric codes to the healthcare services rendered i.e., medical diagnosis, procedures, services, and equipment provided.