MBSAP REVENUE CYCLE MANAGEMENT SERVICES

Revenue Cycle Management or RCM is an extremely important procedure in healthcare and is single-handedly responsible for ensuring that healthcare providers payment, claims processing, and revenue generation procedures work effectively. Mbsap, a leading revenue cycle management service providing company, can manage the entire revenue cycle starting from a patient’s admission to the hospital, treatment, and discharge, to post-discharge claims and accounts settling. With our help you can benefit from accelerated cash flow, structured and organized operations, faster revenue realization, and constant monitoring of key revenue cycles.

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    Our Revenue Cycle Management Services

    With our RCM services, you stand to benefit from increasingly efficient cash flow management solutions which in turn allow for better financial stability and flexibility for managing routine operation while dealing with industry challenges. Over the years, we have worked with both small and large clinics, hospitals, physician offices, family-based medical practices, ACHs, and medical billing providers to provide them with bespoke revenue management services. Our offerings include –

    Healthcare Accounts Receivable Services

    Our team of healthcare experts at Mbsap are highly skilled and experienced to provide clients with accounts receivable management services. We ensure that all the details in the medical claim are correct and ensure that your cash flow is maintained and denials are reduced.

    Accounts Receivable Analysis

    Our AR analysis team can provide you with an accurate analysis of your account receivable accounts with ease. Our services will help you revamp your facility’s economic structure at an affordable price.

    Accounts Receivable Follow-up

    We have the required tools and technologies to ensure that we regularly follow-up with your accounts receivable accounts. We provide our clients with accurate healthcare AR follow-up, AR recovery services, online claims follow-up, financial reports creation, etc.

    Medical Case Management Services

    We have the required skills and expertise to provide clients with the best quality medical case management services. We leverage the latest tools and technologies while delivering the best quality services.

    AR Calling Services

    We have a dedicated team to handle all your AR calling needs. We ensure that you do not spend on hiring an in-house team and boost your ROI. We can help you track unpaid claims, manage patient’s collectible, generate AR reports, and track electronic and paper claims efficiently.

    Denial Management Services

    Denials occur due to incorrect patient information, improper documentation, invalid medical codes, etc. By Mbsap denial management service to us, you can rest assured that all your details are correct and all documents are verified in order to reduce the number of denials.

    Insurance Eligibility Verification

    Our healthcare team at Mbsap has the required skills and expertise to provide clients with accurate insurance eligibility verification. We can help you with document verification, patient insurance coverage verification, claim submission, etc.

    Dental Insurance Verification

    We help small and mid-sized dental practitioners and companies with high-quality dental insurance verification services. We provide them with verification of various details such as policy status, payable benefits, co-insurance details, insurance plan exclusions, etc, apart from offering health insurance recovery services.

    Medical Insurance Claims Processing

    Mbsap is one of the experts in medical insurance claims processing and have been catering to the needs of clients for over two decades now. We can help you with claim setup, verification, document imaging, claim adjudication, disbursement, account settlement, etc.

    Payment Posting

    Payment posting marks the end of the billing cycle where the patient records are entered into the billing software. Our team at Mbsap can help you at each and every stage of the process leveraging the latest and the best medical billing software in the market.

    Health Risk Assessment Services

    If your dental care revenue is hit by delinquent accounts, unpaid dues, and piling claim denials, you’re likely to need Health Risk Assessment providers like Mbsap to ensure a steady flow of revenue is restored. Our services ensure faster payment and help you secure full payment.

    PPO Health Insurance Claims Repricing

    Our team of healthcare billing experts can help you with accurate PPO health insurance claims repricing. We have the expertise to provide clients with the manual repricing of claims, forms processing, provider table maintenance, fraud detection, etc.

    MIPS Quality Reporting Services

    As a CMS Qualified Registry, we are the leading Mbsap partner for MIPS Quality Reporting services and offer performance analytics, consulting, training, and other services at affordable rates to our global clientele. Our experts make use of the latest tools and technologies to deliver highly reliable solutions.

    Healthcare Due Diligence Services

    If you are looking for seamless, detailed, and quality healthcare due diligence services, contact Mbsap due diligence for exceptional results. We have skilled healthcare professionals with vast experience and can help you meet your custom requirements.

    EOB Processing Services

    We will provide a comprehensive EOB that includes all the information on the health insurance that has been processed by the insurer and what portion of it has been covered. We’ll help you understand the invoice and benefits without sounding too technical.

    Accounts Receivable Conversion Services

    Eliminate costly errors, automate bulk A/Rs, reduce bad debts, and improve cash flows with intelligent accounts receivable conversion starting at $1280 per FTE per month. Our experienced financial experts provide seamless accounts receivable conversion which improves your invoicing processes & collections at reasonable prices.

    Healthcare Utilization Management Services

    We provide professional and reliable healthcare utilization management services using cutting-edge technology and intelligent, automated solutions that help to improve your decision-making capability. We also help you achieve operational efficiencies throughout the patient healthcare lifecycle.

    Payment Accuracy Services

    We have the required skills and expertise to provide clients with the best quality payment accuracy services. We leverage the latest tools and technologies while delivering top-notch services to global clients.

    Dental Revenue Cycle Management Services

    If your dental care revenue is hit by delinquent accounts, unpaid dues, and piling claim denials, you’re likely to need dental revenue cycle management providers like Mbsap to ensure a steady flow of revenue is restored. Our services ensure faster payment and help you secure full payment.

    Healthcare Revenue Integrity Services

    We help improve healthcare revenue integrity to rectify sources of revenue leakage. Mbsap assists clients to create a scalable revenue cycle process to surpass financial goals by focusing on improving coding and compliance practices.

    Pre-Visit RCM Services

    During this phase, we cover a host of services which can help you easily screen patients and record their details for faster processing down the line. We ensure all details are captured accurately and securely and screened for mismatches and mistakes. We offer –

    Appointment and Scheduling

    Demo Entry (Insurance and Patient Information)

    Patient Registration

    Referral Verification

    Insurance Eligibility Verification (Online portal verification, real-time verification, and phone calls)

    Prior-authorization

    Patient Indexing

    Batch Preparation

    Payment Batch Preparation

    Post-Visit RCM Services

    Once the patient has been discharged or has submitted his insurance claims, we help to follow up and trace the exact amounts requested, while liaising with the insurance provider, if required. Our services include –

    Medical Coding

    Medical Coding Audit

    Charge Entry

    Charge Validation

    CCI Edit validation

    ICD-10 code validation

    CPT/HCPCS code & modifier validation

    Claims Filing

    Electronic Payment Posting

    ERA & EOB posting

    Daily log report

    Manual Payment Posting

    Denial Posting

    Denial Management

    Identify major reasons

    Tracking and trend analysis

    In-depth analytics

    Account Receivables Management

    In-depth analysis of Mbsap claims

    Follow up with insurance providers

    Appeals & follow-up appeals

    Denial Follow-up

    Claim Dispute Verification

    RCM Support Services

    Along with the above-mentioned services, we also provide a host of support services which can help you streamline and optimize your existing revenue cycle while benefiting from better cost-savings and increased customer satisfaction. Our services include –

    Revenue Improvement Services

    Claim Conversion

    Custom Report Generation

    Payment and charge reports

    Procedures and diagnosis reports

    Payment reimbursement report generation

    Lockbox deposit reconciliation

    Payor detail analysis

    Claims Corrections and Refiling

    Electronic Secondary Claims Transmission

    Manual Secondary Claims Transmission

    Provider Enrollment

    EMR Clinical Documentation and Reporting

    Patient Statements (Inpatient and Outpatient)

    Patient Credit Status Report

    Collection Processing

    Bad Debt Follow-up

    Balance Adjustment

    Clinical Documentation Improvement (CDI)