Skip to main content

Checking Claims Daily Proves Profitable for Facilities -Avontix

Picture courtesy: Google Images

There are many reasons for the failure of a healthcare facility and claims denial is a major concern for the facilities as it results in missing out on huge revenues that are due. Thus, it becomes vital for healthcare facilities to monitor the claims on a daily basis as a part of revenue cycle management. Usually, it is a practice to review the claims on a periodical basis such as weekly, monthly or quarterly which is very beneficial to analyze the effect of claims on the revenue cycle management and the financial prospects of the facility.

But, reviewing the claims on a daily basis has its own plus points and helps in improving the revenues of the facility. By reviewing the claims as and when they are processed and examining all the claims submitted on a particular day at the end of the day ensures that the claims process is being followed appropriately and analyzed for a better revenue cycle management. Incorporating a daily review of the claims submitted facilitates the billing staff and the management to understand the claims submission and reimbursement procedures in a better way and perform the processes in a manner that eliminate claims related errors. This should be one of the methods to be followed by RCM services for the improvement of the revenue cycle.

With this kind of daily review the RCM services providers can analyze why claims are being rejected or denied and what is the cause of delayed reimbursements. To maintain a healthy revenue cycle and increase timely reimbursements, a facility should follow some simple rules.

Scrutinize patient eligibility: The process of claims should start even before the services are provided. The facility’s administrative and front-desk staff should verify a patient’s insurance eligibility even before the services are provided. A very common reason for the claims being denied is the low coverage or no coverage for the treatment provided. So, it helps a lot to check a patient’s insurance eligibility prior to providing services.

Submit accurate claims: Ensuring that all the information provided in the claims is accurate and all the insurance details of the patient are correct before submitting claims will make the claims process much faster and hassle-free. RCM services professionals should take care that the appropriate ICD codes are given to all the billed procedures and services so that the claims are not denied on the basis of wrong medical codes. 

Investigation for Claims resubmission: Even after taking appropriate measures if the claims are denied, it is necessary for the RCM services providers to trace the reasons for the denial and then only re-submit or appeal the denied claims. Without a proper investigation into the reasons behind the denial, the resubmitted claims will not be accurate and may result in further denial. Also, it is very important to track and follow up on the denied claims on a daily basis to avoid any dues for a long time. 

For a healthy revenue cycle, it is important that the billing process is streamlined and the claims denials are minimized. For this, it is crucial to choose capable RCM services providers. 

Previous:"Healthcare Documentation – A Promising Career Option"


Popular posts from this blog

That’s Hilarious! Funny Must-Read Medical Transcription Errors!

Doctors every now and then come across some very critical bloopers from medical transcriptionists. Some of these can be downright funny! It’s common for transcription errors to creep in for various reasons like the dictation might not be clear, too many medical terms stuffed in, or misunderstanding at the transcriptionist’s end. Medical transcriptionists vary in experience and skill and may not be well versed with some medical terms. Here is a compilation of some very funny transcription mistakes you could note to avoid being on the receiving end of the laughter! 

   ·"Eyes and nose continue to be within normal limits" (I & O).    ·"History of sick as hell disease" (sickle cell)    ·"She was a bitch and grinned" (a bit chagrined).    ·"The last day the patient took their meds was for beaver."  (forever).    ·“49 year old occasional male”(Caucasian male).    ·“Borderline respectable pancreatic cancer”. (Resectable).    ·“Patient is alert and orien…

Role of Proofreading in Healthcare Documentation -Avontix

Picture courtesy:
Medical transcription or healthcare documentation deals with the documentation of voice files which is prone to many errors due to the kind of work it involves. Healthcare documentation specialists have to listen to various physicians’ voice files with different accents and document them in a prescribed format. Often there are issues with the voice files regarding the background noises, the clarity in the physician’s speech etc. that give a challenge to the medical transcriptionist. Moreover, many people in healthcare documentation jobs work remotely without any immediate supervisor to rectify errors if there are any. This kind of work needs that the medical transcriptionist is independent, self-motivated and responsible towards the work being done. Being an indispensable part of the healthcare industry, the healthcare documentation specialists take pride in their jobs and work relentlessly for the accuracy and comprehensiveness of the documentation t…

Pointers for Accurate Healthcare Documentation -Avontix

One of the exciting and trending career options available for graduates is healthcare documentation that is also known as medical transcription. There is no dearth of opportunities in medical transcription jobs in Hyderabad as there are a good number of medical transcription companies here. Avontix is a good option for those who want to take up healthcare documentation in Hyderabad. For all those who want to excel in healthcare documentation here given are few tips.
Good typing skills help: One of the key requirements for medical transcription jobs is typing error-free with a good speed. Apart from regular typing skills, it is necessary that you learn and master the keyboard shortcuts and minimize the use of the mouse to accelerate your typing speed. It has to be remembered that typing fast with minimum errors is the key to success in this job. Hence, practicing typing without errors and without the need of deleting and re-typing is important.
Excel with listening: One of the pre-requi…