Medical Billing Services
Medical Billing Services

Accounts Receivable (AR)
Management Services

DENIAL MANAGEMENT

While posting installments from EOBs/ERAs; all dissents are settled and the legitimate move is made utilizing the remark codes set of rules on the EOBs/ERAs. This helps a great deal to limit the accounts receivable in the healthcare industry to a maximum extent. Our specialists are vigilant and experienced to efficiently work on denial resolutions that truly help define astounding medical billing services for our customers.

PROTECTION INVESTIGATION

The major bit of AR is because of unattended claims which have not been responded to by the insurance company. Our representatives take extraordinary care of such claims right after the installment cycle starts. This enables us to discover the real reason at the right time for quicker repayment of pending claims. AR analyst process in medical billing is to keep a check on receivables to ensure that they remain in control. Because as a medical billing outsourcing company, we must maximize collections.

APPEALS MANAGEMENT

Claims which offer less repayment, denials of authorization, medical necessities, and record details and so forth, are sent to appeals division for making the ideal statement leaving no possibility for insurance companies to deny payments. A medical billing company in Ontario, CA does that to inspire an improved financial flow for clinicians.

PATIENTS DECLARATION

Claims which allow balances to be exchanged towards the patient responsibilities after insurance arbitrations; We dispense the ledger balances rightfully to patients and deliver the declarations every month. If the balance is unpaid, we send letters requesting collection of payments to patients as necessary.

PATIENT CALLS

If patient statements are unpaid in a month, in the wake of sending collection letters, our team initiates reminding them about their remaining balances with the particular practice or provider. P3Care’s team investigates every possibility to collect the conceivable repayments for our clients and go the extra mile to make that happen.

ACCOUNTING FOR MEDICAL BILLING

Accounts payable and receivable in the medical office forms the basis of accounting for medical billing. By applying this process in order, doctors are given a break from their financial obligations. As a healthcare practitioner, your first and foremost duty is with your patient. Our purpose is to connect you back with your patients. While assisting you with medical charts, we make use of electronic health records to ask for payments across Medicare, Medicaid, private payers, and patients.

Need proactive AR management for your practice resulting in high collection rates? P3 knows the right way.

Steps in AR Management

Medical billing accounts receivable (AR) managers are expected to perform soon after the subscription starts. Revenue cycle management comprises of steps in which AR management is one that holds fundamental value.

Legal Aspect

  • Don’t bill for Equipment never used in the procedure(s)
  • Take services not performed into consideration
  • No upcoding or undercoding
  • Take note of unbundling charges

Contract Negotiation

  • Know payment terms
  • Reimbursement rates
  • Claim filing guidelines
  • Effective and expiry dates
  • Other provisions

Compliance

  • Running internal checks and auditing
  • Setting up practice standards
  • Assigning a compliance officer
  • Staging workshops and training sessions
  • Detecting offenses

Patient Rights

  • Strong patient-hospital relationship
  • Know about their health plan
  • Choose providers on their own
  • Have access to emergency services
  • Consent to proceed with the procedure

Patient Access

  • Vigilant front desk staff
  • Patient demographic information entry
  • Adequate training of the staff
  • Increase resources at the office
  • Easy access to the medical office for complaints

Charge Capture

  • Appropriate medical coding for procedures performed
  • Timeliness of coding matters
  • Accurate documentation is key to collections
  • Non-discriminatory services

Health Information Management

  • Transmit patient data under the HIPAA law
  • Medical coding
  • Medical necessity
  • Medical records management
  • Filing and retrieval

Patient Financial Services

  • Billing rules and regulations
  • Knowledge of insurance companies
  • Claims submissions without any delay
  • Follow-up after 7 to 10 days of claims submissions
The above-mentioned 8 steps in accounts receivable management pave the way for a successful RCM process. The number to reach us is 1-844-557-3227 or email us at info@p3care.com for any inquiries that you may have.

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We primarily provide HIPAA medical billing services and MIPS consultancy, among other services. As your HIT consultant, we optimize providers’ performance for improved RCM.

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