Healthcare revenue cycle management is the process that is used to manage the clinical & administrative functions associated with claims processing, payment, and revenue generation. The process encompasses the identification, management, and collection of patient service revenue.
BENTYSIAL HEALTH offers a superior medical transcription service with the motivation to strive at our goal of making our clients completely satisfied. We have a highly respected team of transcribers that are well qualified to serve hospitals, clinics, and practices of a size. Having the commitment of three tier quality work within a 24-48 hour turnaround time, and SAT report within 12 hours, we maintain long term relationships with our clients.
With BENTYSIAL HEALTH Eligibility and Benefits Verification, healthcare organizations can electronically validate patient co-pay, benefit and deductible information at a point in the billing process via batch or real-time insurance checks with an extensive payer network.
Bentysial Health has made a much needed internal system for insurance authorization requests. An On-Demand Professional Medical Assistant is assigned to work on the request, coordinate all needs with the insurance companies, complete all follow ups and send results immediately back to the provider. Our success rate in obtaining insurance authorization approval is over 95%.
Our experienced billing professionals can get the claims sent to payers faster, with error free coding using our updated tools and at lower costs. A completely seamless solution that reduces posting errors while utilizing the coding guidelines and billing software. The bills are submitted to payer electronically with in 12-24 hrs after the service date.
At BENTYSIAL HEALTH payment posting in medical billing is one of the key processes that get the utmost attention from our Operations management. The payments in lieu of claims, which are received from the Payer and Patients, are posted in the medical billing system of the client to reconcile the claim. We also does electronic payment posting in to the medical billing software and handles the exceptions (fallouts) manually to make sure no payment is missed. The posted ERAs are stored either in the billing system or a Document Management system (DMS) for future reference.
Insurance Payment Posting: All payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The medical billing staff posts these payments immediately into the respective patient accounts, against that particular claim to reconcile them. The payment posting is handled according to client-specific rules that would indicate the cut-off levels to take adjustments, write-offs, refund rules etc. Our Cash Posting Team gets all our client payments posted and reconciled precisely and usually within 1 business day.
Bentysial Health is dedicated to minimize lost reimbursements and denials with highly efficient systems and services designed to meet our clients’ needs. One of the major problems faced by healthcare providers and medical billing companies is that a large proportion of rejected claims goes unattended and is never resubmitted. Our Denial Management process uncovers and resolves the problem leading to denials and shorten the accounts receivables cycle. The denial management team establishes a trend between individual payer codes and common denial reason codes. This trend tracking helps to reveal billing, registration and medical coding process weaknesses that are then corrected to reduce future denials, thus ensuring first submission acceptance of claims. Also, the payment patterns from various payers are analyzed for setting up a mechanism to alert when a deviation from the normal trend is seen.
We offer a wide range of medical credentialing, enrollment, and licensing services. Scan the list below to get a sense of our most commonly requested services.
Click Here for More DetailsFor claims that are denied and need to be appealed, appeal letters are prepared and sent along with supporting documents including Medical Records for processing. If the insurance permits telephonic or fax appeals, the same is also handled through those channels. Whether it's insurance claim tracking or re-submissions and appeals against previous claim rejections, our pros comprehensively work you, ensuring you an aggressive appeals approach resulting in success. Our commitment is backed by focus to get you the benefits you truly deserve.
We are Workman Comp claim specialists possessing experience and expertise that guarantees you an expedited service. We initiate the process by verifying complete insurance coverage and accepted body parts. We then work on the process of obtaining authorization from the adjuster. our team is aware of worker comp labor laws. We file lien on behalf of the provider through EDEX Information System. We track lien trials, lien conference and hearings, so that we can settle the claim out of the court and minimize expense. We are experts at handling worker comp denials. We help you get back denied claims that you are entitled to.
We are our personal and accidental claim & compensation specialists. We keep track of every settlement with regular follow ups with law firms. We instantly respond to attorney requests regarding reports and billing. Afterwards, we negotiate with attorneys on a pro rata basis to cover your patient's expenses. Our goal is to maintain excellent relations with law firms to get more and more referrals.
Being able to have your billing metrics, or what we call all the AR reports is very beneficial to the doctors. As a billing compa we are able to provide an accurate AR report, and know exactly what you your office is billing out and collecting at a time.
The healthcare landscape is changing at an unprecedented rate. Keeping up with the ever changing rules and requirements is difficult under the best of circumstances. It requires constant education and vigilance. New and deleted CPT codes come out annually, Fees change, and carrier rules seem to vary daily.
Bentysial Health provides you the benefit of a vast knowledge-base and just as importantly; We are privy to aggregated trends from a network of other practices. This inside information keeps us on the cutting edge and shared knowledge is transferred to your practice in real time. Real time information can be invaluable when the change is fast paced and unprecedented.
Healthcare facilities and medical practitioners alike suffer from the same problems: slow or non-payment from patients. Bentysial Health is here to collect those patient collections. Your time is important, let us take on the hassle of medical collections. We are Hipaa compliant and honor the guidelines set by them, ensuring you professional and timely patient collection services.
