Remittance Processing Services

While many administrators view clinical documentation and coding as the two main pillars of efficient medical billing and view payment posting as nothing more than the act of posting payments, a skilled team of payment processors can offer vital insights into the overall efficiency of your revenue cycle processes.

The remittance processing specialists at Revelationcare do more than just process payments. They also give you information about trends and reasons for denials, prior authorization, non-covered services, the caliber of your clinical documentation and coding procedures, and the efficiency of your front-end patient collections.

We perform exceptional levels of accuracy and promptness in processing the following remittance transaction types:

  • Electronic Remittance Advisory (ERA) Posting. A large number of payment transactions are typically included in electronic remittances. Loading the files into the revenue cycle system is the first step in processing ERA batches. The revenue cycle system’s  functionality is then used to process exceptions from batch runs and make the necessary corrections.
  • Manual Payment Posting. Each line item is posted to the appropriate patient accounts after payment information is captured from scanned images of Explanation of Benefit (EOB) documents. You can make sure that payments, adjustments, write-offs, and balance transfers are accurate by working with our team to create business rules that are specific to your practice and your doctors.
  • Denial Posting. Our staff is familiar with both the ANSI denial codes and the comment codes used by various payers. We enter denials into the practice management system of the customer and take steps like billing the secondary payer, transferring the  remaining funds to the patient account, making adjustments and write-offs in accordance with established policies, and routing the denied claims to the proper work queues.
  • Posting Patient Payment. For the claim to be closed properly and to prevent an inflated AR, patient payments must be taken into account. We have a great deal of experience processing patient payments through various channels, including POS cash collections, checks, and credit cards (patient portals). Our experts in payment processing track patient payments, decide whether to transfer any outstanding balances to backup insurers and settle any credit balances.
 

Why Revelationcare?

  • Analytics. In addition to providing reports on our performance’s production and quality, we also offer comments on patterns in denials, non-covered services, prior authorization, and problems with deductible or co-payment collection at the point of service.
  • Develop Policies for write-off and adjustments. We assist our clients in creating explicit policies for write-offs and adjustments. We report any unusual contractual adjustments made while processing payment transactions in accordance with these policies.
  • Handling Denials. We promptly rework and resubmit rejected claims to payers. We route denied claims to the appropriate coding and denial management team.
  • Filing Claims with Secondary Payers. Claims with secondary payers are located, and any outstanding claims are processed.
  • Knowledge Management. Our knowledge management tool’s organized business and process rules effectively help us keep track of all the updates.
  • Dashboards. Dashboards that enable continuous improvement and give quick access to
    process health indicators.

To find out more about Revelationcare’s remittance processing services, get in touch with
us