E-care India PVT LTD

Healthcare Revenue Cycle Management (RCM) is the process of managing the patient data and the financial status of the organizations. This involves handling Medical data and patient information, storage and retrieval as and when required. The information provided by the Patient pertaining to their personal and insurance payor needs to be verified for accuracy and completeness prior to rendering the service as this can directly affect your financial system. This explains why Insurance Eligibility Verification needs to be the first step of your RCM process. Before analyzing the measures to Optimize Insurance Eligibility Verification , let us look down on the benefits and detriments of having or not having this process in our RCM flow. Why Insurance Eligibility Verification is Important? : Revenue Cycle Management involves meticulous details and information that tends to change and vary upon any given situation. This ever-changing nature of the Medical data inclusive of patient dem

  Eliminate the coding complications by outsourcing medical billing  to improve billing efficiency after the covid pandemic.

  AI will streamline dental billing workflows and helps in reducing denials rate by analyzing the denials to find a root cause for better denial resolution.

Stay on cardiology billing and coding changes to minimize claim denials and increase practice revenue. https://youtu.be/EUujh7LpjPo

  Charge Entry Charge entry has a remarkable and significant task to carry out in specifying charges with accurate medical codes and appropriate fee schedule.  The billed Amount for the service delivered needs to be captured accurately during charge entry for enhanced reimbursement. . This process needs more attention and exact information for the data entry. While entering the charges, charge entry specialists should update the demographic and insurance related information in the billing system. After the service is performed and appropriate procedure and diagnosis codes should be updated with the coding information like CPT modifiers, prior authorizations number, Provider details, accurate data of service and specify the right doctor. The subsequent stage is entering the right CPT and HCPCS codes that will append a charge for the visit. If these things are not entered accurately, the result is regularly denied or delayed claims  and also it makes potential risks for future reviews. K