REVENUE CYCLE MANAGEMENT
Along with the payment receipt, the medical provider receives an EOB i.e. explanation of benefits. This document outlines the reason for the payment processed and amount not paid. Our team analyzes each EOB, compares with fee schedules, contracted amount and finds the reasons for any non-payment or part payment. Our executives are trained to understand and take action on this analysis. If its a partial payment and the patient is responsible for the rest, we will raise a Patient Statement and claim it from the patient. If there is billing error, we resubmit the claim electronically or through paper. The claims that require further follow up are passed to account receivable follow-up or denial management departments.