Eliminate 60% – 80% of the workflow in billing and collecting accurate claims.

What Beth can do for you:

Checking eligibility and benefits before appointments

Scrubbing claims to prevent revenue leakage

Monitoring submitted claims and checking claim status

Downloading 835s from multiple locations

Identifying actionable denials and following up

Billing secondary payers with EOB information

Creating attachments from encounter information

Assembling appeal packages with template cover letters

Sending attachments via fax, mail, and uploading

Posting payments, adjustments, and write-offs

Beth takes over the tedious
workflow that is frustrating your staff.

Billing Automation Outcomes:

Prevent Avoidable Revenue Leakage

Eliminate Manual Data Entry Errors

Automate Claims Tracking and AR Follow Up

Focus Staff on High Value Tasks

Report on Source of Truth Data

Your team works hard to collect accurate claims from payers,
but it always feels like a losing battle. Time to bring in reinforcements.
Rescue your team from this never-ending headache by letting Beth handle your claim coding and submission.

Prevent Avoidable Revenue Leakage

The best way to fight against revenue leakage is to stop it before it happens. But when you have countless claims going to multiple payers, optimizing your process is nearly impossible.

Beth will scrub each and every claim before it leaves your office, so claims:

  • Fit each specific payer’s parameters for accurate and full payment
  • Are compared against revenue leakage rules based on a specific provider’s combination of payers and services
  • Are cross-reference against payers’ historical denial trends for their services

By processing all of this information quickly and efficiently, Beth can actually predict how to prevent denials and can optimize her and your team’s coding process accordingly.

For example, there could be three ways to code a claim for the same service, but one of those ways could have a higher likelihood of being paid by the payer. Beth and the RCM Brain team would guide your billing staff in choosing the better way to code the claim.

Eliminate Manual Data Entry Errors

Unfortunately, your medical business’ staff has to perform a huge amount of manual data entry across a wide variety of software systems, including:

  • Electronic health records (EHRs)
  • Practice management systems
  • Clearinghouses
  • Payer websites

Because of the complexity and interconnectedness of these tasks, the odds of incorrectly entering data across these systems is incredibly high. Errors can result in:

  • Claims not being paid
  • Payments not being posted correctly
  • Other additional issues that result in revenue leakage

By allowing Beth to takeover data entry your office currently enters manually:

  • Tasks will be performed accurately and consistently every time
  • Increase the timely payment of claims and reduce revenue leakage
  • Your staff can devote their time to more important and fulfilling work
By tracking all of your billing services’ claims, Beth can provide nuanced insights for your AR department, which allows everyone to do their job better.

Automate Claims Tracking and AR Follow Up

Monitoring claims once they leave your office is one of the many revenue cycle challenges that plagues your team. On top of the paperwork that your staff is actively processing, your team has to chase submitted claims that never received payment (also known as a pended claim) and follow up on denied claims that need to be:

  • Resubmitted
  • Edited
  • Appealed later in the process

This doesn’t leave much time for your staff to focus on more pressing matters. You need Beth. She can track every claim once it goes out the door and:

  • Keep up with status changes made by the payer
  • Handle pended claims
  • Dispute denied claims

For more complex cases better suited for your talented team, Beth can task a staff member to follow up on a pended or denied claim.

Allow Beth to automate your billing and eliminate
as much as 80% of your AR department’s workflow.

Focus Staff on Higher Value Tasks

Eliminate manual data entry and let Beth track down missing claims, so your staff can focus on claims that weren’t paid or were paid inaccurately and speeding up the payment process by following up on services rendered. Your staff will also be free to bolster stronger connections with your patients through interactions like contacting them directly about their appointments versus relying on an automated system.

Beth can also provide both standardized and customized data reporting.

Report on Source of Truth Data

Another problem that your company faces is not knowing what is actually happening at any given time with your claims and AR processes because you don’t have enough information from the payers.

But when you put Beth on your team, she’ll absorb claim information and data from:

  • Your billing system
  • Clearinghouses
  • Payer

Beth understands what the source of truth is at any given moment without having to dig through paperwork and make educated guesses based on missing information.

Enforce Payer Accountability through Accurate Numbers

By having access to reports that your company normally wouldn’t, Beth makes it possible to hold payers accountable so you can get what you’re actually owed.

When you hire Beth, you’ll also have the expertise of the RCM Brain team on your side. We’ll coach and guide your team through negotiations with payers. As part of our consultative approach, every month we will:

  • Review your performance metrics
  • Determine new skills to train Beth on
  • Implement new rules to further reduce revenue leakage
Free Up Time For Your Staff and Reduce Revenue Leakage – Hire Beth

If you’re ready to bring in more money while spending less time chasing after bills, it’s time to hire Beth. To set up your personal consultation and learn more about what the RCM Brain team can do for you, call 1-855-RCM-BETH.

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