Revenue Cycle Management

Is your current medical billing, coding and revenue cycle management solution up to the challenges and mounting pressures to respond to sweeping healthcare reforms, changes in...

Revenue Cycle Management Services

Is your current medical billing, coding and revenue cycle management solution up to the challenges and mounting pressures to respond to sweeping healthcare reforms, changes in processing needs and sheer volume?

In the face of unprecedented shifts in healthcare, being open and flexible by having a trustworthy offshore solutions provider who understands your unique support requirements is key. eNoah raises the bar and sets the industry norm for Revenue Cycle Management Services for medical billing companies, hospitals, physician practices and providers with accessible, flexible, low-cost efficiency solutions.

eNoah’s RCM suite combines affordable and timely delivery with a powerful spectrum of new generation technologies guaranteed to keep pace with changes in the system.We integrate productivity enhancement and performance improvement solutions so your entire revenue management cycle is managed with optimum efficiency.

eNoah’s promise is to offer you the full breadth of services to make your offshore revenue cycle management a stress-free process. This frees up your valuable onshore time and core resources so you can focus on growth.

Why eNoah vs other companies?

Most companies do not offer the singular attention and focus that eNoah’s specialized RCM Professionals bring to the table.We employ powerful business intelligence tools to hone in and improve every aspect of your billing and collections efficiency.

Our teams perform RCM functions with laser precision backed by years of productive efficiency guaranteed to provide reliable results for you eliminating time and cost waste.

Not only do we reduce turnaround time, we have installed measurable, constantly evaluated and accountable improvement processes.These are designed to minimize errors, improve accuracy and ensure efficiency at every level of the transaction cycle.
We invite you to take a look at eNoah’s Revenue Cycle Management Process Offerings and find out why more and more companies seek our services in this realm.Call us for more information to explore how we can collaborate.

1.Patient Demographic Entry

Following an appointment at the doctor’s office, we complete the Patient Demographic Entry by collecting and verifying the patient demographics received at the Patient visit. In the event that the patient is already registered in the medical billing system, new information is verified with the existing data and changes are swiftly updated.

Implementation models:

  • a) Receive Patient information from clients and billing offices.
  • b) Verify the patient’s insurance information.
  • c) Enter Patient information in the billing system

2. Insurance verification process

The best way to get a claim paid on time is to conduct a proper Insurance Verification before the service is rendered.

  • a) Receive Schedules of the patient via EDI, mail or fax or check them every day in the appointment scheduling software.
  • b) Verify Patient Insurance coverage with primary and secondary payers by making calls to the payers and checking through their authorized online insurance portals. We also contact patients for additional information, if required
  • c) Update the billing system with eligibility and verification details such as member ID, group ID coverage period, and co-pay information and other benefits information.
  • d) In case of issues regarding a patient eligibility, we inform the client immediately


3. Charge Entry Services

Our Medical Billing professionals enter charges based on standard medical billing rules pertaining to each specialty, insurance carrier and the location. The charges are created within the agreed time frame -generally 24 hours Turnaround Time. Our charge entry team is well trained to work with numerous medical billing software, packages like Misys Tiger, AdvancedMd, Practicemate, Practiceadmin, Ezclaim, SequelMed, Medisoft, Medtron, MD Net.

  • a) Charges are entered into the client’s medical billing system based on account specific rules.
  • b) The pending or held documents are sent to the client for clarification, on a pre-determined schedule.
  • c) The final charges are audited by the Quality team and the Clean claims are filed.

4. Electronic Claim Submission

A crucial step in the Medical Billing process is Claims transmission. The claims contain sensitive information including patient data and insurance information. Claims transmission through electronic submission reduces processing delays and ensures high readability.This guarantees that no claims are rejected due to illegibility. With electronic submission, the carrier confirmation report is also instant and prevents any time delays due to transmission. Tracking claims have also become easier and corrections can be made to the claims thus avoiding rejection.

5. Cash Posting

At eNoah, payments received from patients and insurance companies are posted to the patients’ accounts in the client’s billing system. The posted payments are balanced against the deposit slips to ensure accuracy in payment. We also process electronic posting of payments into the billing software and ensure that the EOB (Explanation of Benefits) files are stored for future reference. The payment posting team also checks for any underpayment being made to the accounts and move the accounts to the Accounts Receivable team for reprocessing.

6. Denial Management

Denial Management is critical in the process of medical billing. Our dedicated team of denial management experts execute a thorough analysis of the denied and underpaid claims to determine the reason behind the denial or underpayment. Corrective measures are taken on the basis of the analysis without any time delay, and the claims are re-submitted for acceptance of the insurance provider. After re-submission, the denial management team regularly follows up on the claims with the insurance provider to track status and expedites the payment.

7. Accounts Receivable Management And Follow Up

Collection of Funds- Receivables, is a challenging task. eNoah employs the industry’s proven professional and efficient strategies to recover receivables and also excels in converting aged AR receivables into collections by effective follow-up with insurance providers. A dedicated team of AR Callers follow-up with patients to get missing patient information by sending emails, notices or making phone calls. eNoah aims at improving our client’s account receivables turn-around time thereby increasing cash flow and improving profitability. We continuously strive to nullify bad debts and increase medical billing collections by proper monitoring of Aging claims and Aging reports.

    Our Accounts Receivable management solutions also include the following optional services:

  • a) Handling of Refunds
  • b) Secondary Claims Filing
  • c) Insurance and Patient Follow-up
  • d) Handle Appeals for contested claims
  • e) Generate and mail patient statements
  • f) Indexing of documents to the patient accounts
  • g) Prepare Customized management reports

8. Patient Billing

Insurance companies may apply a portion of the allowed amount to patient responsibilities eg.Co-Pay, Coinsurance, and Deductibles; Our billing professionals review accounts which have an outstanding balance after insurance payments, and print patient receipts in the client system.

As per the client’s requirements, we perform

  • a) Small balance adjustments.
  • b) Bad Debt Adjustments
  • c) Sending Discount Letters.
  • d) Courtesy Adjustments.

9. Medical Coding Services

Our certified Coders provide a Key step in the medical billing process, assigning appropriates codes by reviewing the documentation received from the physician’s office. We understand that medical coding is a vital process in medical billing. Proper coding is critical to reducing Insurance denials and increase revenue.

We have AAPC (American Academy of Professional Coders) certified medical coders, to reduce Medical coding errors and prevent claims from coding related denials.

      Our Medical Coding team are experts in the following medical coding guidelines:
  • a. ICD-10-CM, ICD-9-CM, E/M Codes (Evaluation & Management) CPT-4 & HCPCS coding
  • b. Handling Client-specific coding Requirements

All Medical coding services are accomplished using eNoah’s proprietary stringent quality control policies to ensure that an accurate and error-free claim is submitted. eNoah provides the consistency you seek and eliminates error risks through accuracy via our proven Medical coding methodologies.We also provide regular feedback to clients on any coding related updates and denials.

Specialties:

  • Multispecialty Billing
  • Radiology Billing
  • Pain Management Billing
  • OB/GYN Billing Cardiology Billing
  • Oncology Billing
  • Gastroenterology Billing
  • Physical Therapy Billing
  • Occupational Therapy Billing
  • Internal Medicine Billing
  • Chiropractic Billing Applications

eNoah’s team of experienced Billing professionals are ably qualified in various EMR/EHR and Medical Billing Applications such as Medtron, Sequelmed, Medisoft, Mysis tiger, MDnet, Practice Mate, Practice Admin, EZclaim, AdvancedMD, Medic Centricity and more. Call us today to find explore how we can work together to relieve your Medical Management Needs with dazzling efficiency!

For more information visit us @ http://medicalbilling.enoahisolution.com

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