Experience seamless revenue management with RCM Expert’s efficient ERA (Electronic Remittance Advice) and EOB (Explanation of Benefits) posting services. Our skilled team ensures accurate and timely payment posting, eliminating errors and speeding up your revenue cycle. Leveraging advanced technology and deep industry expertise, we simplify the complexities of payment reconciliation.
Contact us nowManaging revenue in healthcare billing is a complex process that requires accurate payment posting. By predicting reimbursement trends and financial status, providers can resolve denials quickly and efficiently. To achieve this, healthcare organizations need an effective payment posting service.
Some insurance plans mandate pre-authorization or a referral before certain services can be rendered. Failing to secure or properly document these requirements often results in claim denials.
When a patient is covered by more than one insurance plan, it's crucial to determine the correct order of billing.
Claims may be denied if the patient’s coverage has lapsed or the services fall outside the scope of their benefits. Verifying the policy's active status and coverage limits before rendering care helps prevent these avoidable denials.
Simple mistakes like incorrect patient demographics, mismatched procedure and diagnosis codes, or typographical errors can trigger denials.
We specialize in delivering comprehensive, results-driven denial management services. Our mission is to recover lost revenue, reduce future denials, and strengthen your entire billing workflow allowing you to focus on what matters most: patient care.
Payment information is received from various sources, including Electronic Remittance Advice (ERA) for insurance payments and receipts or statements for patient payments.
Verify the received payment information against the corresponding claims or invoices. Ensure that the payment amounts match the expected amounts based on the processed claims.
Enter payment details into the healthcare provider's financial system. This includes recording the payment amount, payment date, and any relevant details provided in the remittance advice or payment receipt.
Allocate payments to specific claims or invoices. This involves linking each payment to the corresponding service or procedure for which it was received.
Make any necessary adjustments, such as contractual adjustments or write-offs, based on the information provided in the remittance advice or payment receipt. These adjustments reflect the agreed-upon rates between the healthcare provider and the payer.
Payment information is received from various sources, including Electronic Remittance Advice (ERA) for insurance payments and receipts or statements for patient payments.
Contact Denial Management today at (281)-864-0448 to get started. Let our experts handle your provider enrollment and re-credentialing tasks, so you stay compliant and get paid faster.