​​HIPAAS RCM Key Components:

• Eligibility Verification: Verifying eligibility is a vital step within the healthcare sector, involving the confirmation of a patient's insurance coverage and assessing their qualification for medical treatments or procedures. HIPAAS ensures that healthcare providers receive proper reimbursement for the care they deliver.

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• Prior Authorization: Submitting Prior authorization with all required data and reports is crucial. We follow up with insurance companies on additional queries and requests. Our goal is to get prior auth approvals

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• Accurate Coding and Documentation: The crucial procedures of coding and documentation in healthcare encompass the translating patient encounters, diagnoses, and treatments into standardized codes. These codes are used for various purposes, such as billing, insurance claims, medical research, and quality reporting. HIPAAS proper codification techniques and documentation ensures the healthcare providers are appropriately reimbursed, and the patient care is well-documented.

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• Precise Claims Generation: The generation of claims is a crucial stage. HIPAAS crafts detailed medical claims that outline the services rendered to a patient by a healthcare provider and then submitted to insurance payers for reimbursement.

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• Timely Claims Submission: Submitting claims is a pivotal stage in the healthcare RCM process. ensures precise and prompt claims submission there by guaranteeing that healthcare providers receive appropriate reimbursement.

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• Efficient Denials Management: HIPAAS Denials management is systematic approach of recognizing, resolving, and minimizing claim denials, aiming to secure the maximum reimbursement for healthcare providers' services.

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• Precision and Effectiveness in Patient Billing and Collections: HIPAAS again ensures Precision and effectiveness in patient billing and collections to guarantee that healthcare providers obtain proper compensation for their services, all the while nurturing positive patient connections.

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• Precise Payment Posting and Reconciliation: HIPAAS team makes sure proper documentation of received payments from diverse channels, such as insurance firms and patients and reconciles the same with claims, there by securing healthcare providers receive appropriate reimbursement. We reconcile claims, claims payments, ERA, EOB and even match to Treasury files and Lockbox files. This ensures the A/R Accuracy.

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• Patient Responsibility: As part of payment posting we also assign patient responsibility and communicate to collect the required payments via your payment team or collection team