Revenue Cycle
Management Services
Revenue Cycle Management Healthcare
Revenue Cycle management is a very complex and laborious process and if not done correctly, directly affects the financial well being of your practice. Also, it is necessary to perform these services on are regular basis without any break. It needs to be done correctly firsttime every time. Coding mistakes costs the organization lot of money and regulatory compliance issues. This also leads to lower satisfactory levels of your patient thereby affect the reputation of your practice in the long run.Moreover, steps involved are hard to manage especially the medical coding, multiple payer contracts enforceability and AR. To compound matter there is regular staff turnover which leads to backlog and huge AR that becomes impossible to resolve as it goes beyond 90 days.
That is why we recommend outsourcing our billing requirements to partners like us. We are focused and certified group of medical billers and AR executives who are trained to cater to all your needs on a consistent basis.We pride ourselves in helping our customer achieve higher profit margins from very first month of engaging our services. We assure you as a clinic,physician or a hospital receive the maximum revenue approved in the shortest time.Our all-inclusive revenue cycle management solutions have been in use and perfected for over a decade to ensure your start seeing results from the first month itself.
We offer in RCM
Guhilot is one of the leading Healthcare company focusing on medical billing services. We have multiple on-Shore and off shore presence to ensure comprehensive account receivable services that can MAXIMIZE revenue for your medical practice.
Experienced StaffOur staff has decades of experience working medical billing services. We regularly hire and train professionals who get themselves certified before they work with any of customers.
Reduced ARWe have access to the most updated reference material from WPC-EDI, CMS, internal data base and other sources.
Access to latest informationWe have trained AR team to ensure your AR’s are reduced by 50% in the first few months of engaging our services. After which we ensure that it stays under 45days aging at all times.
Expertise leading billing softwareOur Staff has worked on all leading billing software to ensure that you do not have to change anything at your end.
Wide Industry experienceOur teams have extensive experience working various specialties. This ensure the billing is done correctly the first-time claims is sent.
AR Calling TeamWE have trained AR team to ensure that we monitor and track each and every claim for earliest resolution and ensure maximum revenue generation.
Flexible Engagement ModelsOur Revenue cycle management contracts can be short-term and long-term. You have the flexibility to switch between them and also between your staff and ours. We are very flexible in our engagement models so you stay in control all the time.
Our Process
Our RCM Services includes all the administrative and clinical functions that contribute RCM process. Some of the steps followed by our services are mentioned below.
Eligibility Verification
Eligibility check done before the patient reaches the office
Charge Posting
Charge Posting from superbills on the same day of patient visit
Clearing House Denial
All electronically rejected claims are worked on the same day of the submission
Payment Posting
Get the paper EOB's as well as the electronic ERA's posted on the same day
Denial Management
Any rejections received in EOB's or ERA's are work on the day we receive them
Secondary Billing
Claims to be submitted to secondary insurances as soon as the EOB/ERA is received
Accounts Receivable
Aged claims are worked on regular intervals to boost up the revenue
Patient Billing
Bill patients for their balances and post patient payments. Follow up with patients for balances
We provide reports & analysis based on the clients’ needs. We also have standards reports which include:
- Location based AR Report
- Provider based AR Report
- Members based AR Report
- CPT based AR Report
- Denial wise Reporting
- Denial Management Analysis
- Monthly AR Tracking Reports
How You Benefit
AR below 45 Days
We strive to keep the AR aging to be low 45days at all times.
Regulatory Compliance
We keep track of any regulatory changes that may happen over the year to ensure that your are at the forefront all important changes.
Affordable Rates
WE offer very competitive rates.
Greater Control
When you outsource your revenue cycle management work you will have greater control, as you no longer have to worry about staff turnover. With our flexible and transparent engagement model, you will enjoy complete control over the process at all times.
Data Analytics
We provider detailed reports that show your performance on a regular basis. These help you keep track of your finances at all times. Some of the reports we have are AR Aging, Top Carrier/Insurance, Key Performance Indicators(Like total encounters, total procedures, total charge, total collection, outstanding AR’s etc).
