Eligibility and Benefit Verification

Managing both business operations and a medical practice concurrently poses significant challenges. Balancing the demands of running a business, ensuring a steady cash flow, and simultaneously overseeing a practice to deliver optimal patient care requires additional efforts. This inevitably results in a considerable amount of hassle within your practice.

RBSBPO RCM is positioned to provide valuable support through its well-organized and comprehensive medical billing solutions. We offer a complete range of practice management solutions catering to all healthcare providers. Our professional team, coupled with innovative technology, facilitates a streamlined workflow that minimizes errors, expedites the billing process, and mitigates the impact on your financial outcomes. Our array of medical solutions encompasses services such as medical billing and coding, medical auditing, denial management, and more.

Verification

In numerous instances, practice revenue is compromised due to challenges associated with insurance coverage and member benefits. Numerous claims face denial primarily because of inadequate verification of eligibility and benefits, leading to services or patients not being covered by plan providers. Regrettably, this critical aspect often gets overlooked in the revenue cycle chain.

Substantial revenue loss can be prevented if healthcare providers implement an insurance verification process or opt for eligibility and benefit verification services from a reputable company such as Advantage Medical Billing.

Our eligibility and benefit verification services can reduce different types of denials, making billing practices more efficient and increasing your overall bottom line revenue. We ensure the patient benefit and insurance eligibility is verified before the clinical services are provided.In contrast, Ineffective eligibility and benefits verification and/or prior authorization processes can result in increased claim denials, delayed payments, additional effort on rework, delays in patient access to care, decreased patient satisfaction, and non-payment of claims.

medical-billing

Our team members will do the following steps as a part of effective and productive verification processes:

  • Receive patient schedule from the healthcare provider’s office – hospital and/or clinic
  • Perform entry of patient demographic information
  • Verify coverage of benefits with the patient’s primary and secondary payers:
  • Coverage – whether the patient has valid coverage on the date of service
  • Benefit options – patient responsibility for co-pays, co-insurance, and deductibles
  • Where required, the team will initiate prior authorization requests and obtain approval for the treatment.
  • Update the service provider’s revenue cycle system or the practice management system with the details obtained from the payers.

BENIFITS

Reliable services for all your medical billing and coding hassles

RBSBPO RCM will increase your collection rates, decrease rates of denied claims, reduce your account receivables, provide you with a clear graph of your practice performance and financials. Our services manage and simplify every step of the practice management from scheduling the appointment to billing and revenue collection.

We have a very experienced and competent team of medical billers, who have over 10 years of experience in the billing industry. Our team is very well aware of the advancements in health insurance companies and updates regarding state laws. In this way, Advantage’s best in class services provide clients with the support to run their practice effectively and efficiently taking practice management and revenue collection to new levels.

Why Choose us

  • Increase revenue by reducing administrative costs.
  • Tailored medical billing services according to the unique needs of your specialty.
  • Customized and streamlined credentialing services for providers of all sizes.
  • Advanced practice management tools that provide financial and practice analysis tools.
  • Comprehensive and fast sign up process.
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