our RCM Services include
Process & Delivery
At Aarin Healthcare Services LLP, we work in tandem with a client's in-house team. We act as a one-stop-shop to provide RCM solutions to our clients. Our team of experts are not motivated to just touch the account, but they are trained to dive deep and get to the root cause of the issues our clients are facing and then provide the best custom-made solutions.
Patient Demographics
Patient demographics verification is a very important component of the RCM process, which if done right, can increase the number of "clean" claims getting out and timely reimbursement from the insurance company. Incorrect or missing information on the claim form will result in rejections or denials from insurance companies, which derive additional cost and effort required to fix the issue. Our highly efficient demographics team ensures all the information received from the patient, practice, or hospital is updated correctly in the practice management system and on the claim form.
Coding and Charge Entry
Our team of CPC-certified coders abide by insurance and government regulations. Our medical coding team has a good understanding of ICD-10, CPT coding, and HCPCS codes across various specialties. The Charge Entry Team at Aarin Healthcare Services is trained and well versed in all charge entry aspects and we try to add all the necessary modifiers, NDC numbers, CLIA, and authorization related information at the time of entering charges in the system to avoid any future denials or rejections. Both our teams work together to get a better result and send the clean claim out.
Claims Transmission & Front-end Rejections
Submission of a clean claim is necessary for any practice to get timely and maximum reimbursement. At Aarin Healthcare Services, our expert billers ensure that clean claims get out of the door, keeping CMS guidelines in mind. Our team is updated with the most recent changes in the federal, commercial, and worker's compensation reimbursement policies, which allows us to stay on top of front-end rejections. A complete and thorough audit is done before submitting the claim to ensure the practice does not end up spending time and money on fixing the rejections or dealing with denials.
Payment Posting
Our highly professional team of billers posts the payments received from patients & insurance companies in the practice management system. We reconcile the actual payment received with the deposit slip to ensure a hassle-free balancing for our clients. The payment posters also keep a tab on any claim which is not paid as per the reimbursement schedule of the insurance. We do both manual and EFT payment posting though we encourage our clients to use EFT payments and facilitate the set-up for them wherever it is possible, to reduce the payment TAT.
Denial Management & AR Follow Up
Account receivable is one of the most crucial and important part of RCM that directly impacts the cash flow and company’s ability to collect money that’s why a rigorous and highly effective system needs to be in place to ensure we improve client's net collection ratio through our services. At Aarin Healthcare we exhaust all our efforts to resolve the denial, our AR experts are trained to think out of the box and explore every possible opportunity to get the claim paid. Our leaders provide customized work orders to our AR team to ensure we work only on the claims which need our attention.
Patient Statement
Through Our Patient Statements and Collection of the Payment process, we send the final invoice to patients as a printed or electronic bill including demographic details, the amount owed, and the date the service was provided along with an itemized description of charges. We also use an online payment collection method to simplify patient collections.
Lost revenue recovery Audit
Our services include a rigorous audit using disciplined methodology- which contains detailed research, doing the root cause analysis keeping statute of limitations to recover the lost revenue in mind. We will provide you an Executive Summary with complete detail of possible opportunities to recover the revenue ensuring that there is no disruption in the service delivery.
Customized reports/Executive Summary for Stakeholders
No one knows our stakeholders better than us. Communicating our progress road-map to stakeholders at the right level of detail is key to success. One glance at our customized reports and the stakeholders will get complete and detailed information about their accounts. Our reports will not only talk about what is not right but it will also give our clients the solutions to eliminate the waste from the process and make the overall process lean.
OUR Additional RCM Services Include
Consulting Service
Account receivable is one of the most crucial and important part of RCM that directly impacts the cash flow and company’s ability to collect money that’s why a rigorous and highly effective system needs to be in place to ensure we improve client's net collection ratio through our services. At Aarin Healthcare we exhaust all our efforts to resolve the denial, our AR experts are trained to think out of the box and explore every possible opportunity to get the claim paid. Our leaders provide customized work orders to our AR team to ensure we work only on the claims which need our attention.
PROVIDER CREDENTIALIZATION/ ENROlLMENT
At AariN Healthcare, we provide enrolment and credentialing services with a firm grasp of payers guidelines. We can help you get enrolled with insurance carriers network so that you can provide quality service to patients who are covered by the carrier. Our tailored healthcare credentialing services will help you get reimbursed faster.
Business Analytics
We prioritize a consistent and timely cash flow. Unsurprisingly, improper coding or misdirected invoicing can create gaps in collections. Identifying the aforementioned gaps and creating excellent strategies to tackle them is our forte. Aarin Healthcare strives hard so that an individual clinic, specialty physician group, or even the entire hospital revenue cycle receives the best possible benefits through our usage of advanced technology and reliable customer support.
Patient Payment Collection
However dreadful the idea of asking money from your patient may sound, it's one of the crucial elements of a successful practice. While non-payment can be a big problem thereare a few things you can do to avoid pending bills and ensure asystematic patient payment process.
Prior authorization
(Precertification or prior approval)
Prior authorization plays a vital role in the healthcare revenue cycle, providing significant protection for both healthcare providers and their patients. Prior authorization is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage
At Aarin Healthcare we specialize in Prior Authorization services to help healthcare providers streamline their revenue cycles and optimize collections.
