Our revenue cycle management combined suite includes the below services
Eligibility & Benefit Verification
Without proper eligibility and benefits verification, multiple problems are created down the line. Delayed payments, reworks, patient dissatisfaction, numerous errors, and nonpayment are some of them. Dafson's Healthcare Solutions provides top-quality, cost-effective patient insurance eligibility and benefits verification.
Boost cash collections by reducing write-offs and denials
Accurate entry of demographics is very crucial for timely and maximum reimbursement. Clerical lapses can prove to be fatal; these are tackled using six sigma methodologies. The Dafson's Healthcare Solutions team manages this critical operation efficiently, quickly and accurately. The prevention and timely resolution of critical errors are essential for hassle-free claims and top productivity.
Our professionals enter the information/charges according to standard medical billing rules. These rules are specific to each insurance carrier, speciality, and location. The charge entries are entered within an agreed turnaround time of 24 hours. This standard time may differ according to the medical specialities, thus reducing room for errors.
Dafson's Healthcare Solutions presents an all-inclusive overflow and fully outsourced coding services. Our coders help clients cope with coding demands, and thus straighten out medical billing process. As a result, cash flow management becomes easier for inpatient and outpatient medical service providers. Our coding services encompass ICD-10-CM, ICD-10-PCS, CPT, HCPCS and others.
Our highly-skilled coders are adept at handling your requirements quickly, and efficiently. They are up to date with the latest advancements and regulations in their field, and thus ensure the best results.
The payments received from the patients as well as their insurance companies are updated to their respective accounts in the medical billing system. These are tallied against their deposits and to ensure payment accuracy. Our payment posting personnel also check for any underpayment made to the concerned accounts. They also do posting of payments into the medical billing software and make sure that the EOB files are stored for future references.
Denial management is a crucial aspect of medical billing. Our denial management experts run a robust analysis of the denied or underpaid claims to find the reason behind the low payment or denial. Corrective steps are taken immediately. The claims are re-submitted for acceptance of the insurance company. Our team promptly follows up with the insurance company for speedy payment.
The team also sends status reports at appropriate intervals to keep them updated. The records of these denials are stored for future reference; documentation guidelines are promptly followed. Special requirements like referrals, ABNs and authorisations are also observed as standard procedure – so that cases of denials due to a violation of standards are negated.
Accounts Receivable Management and Follow Up
The biggest asset of all healthcare providers is usually the accounts receivable. A collection of such receivables is essential to any healthcare practice; however, it is not easy. We employ efficient methods to recover these receivables. We are also adept in translating ages AR receivables into collections by constant follow-up with insurance providers. At Dafson's Healthcare Solutions, we improve turnaround time of client account receivables and thus enhance profitability and cash flow.
We endeavour to negate bad debts and improve medical billing collections. We have a special team to follow up with patients for ‘missing information’, via email, telephone calls and official notices. Our accounts receivable management solutions also include optional services like:
Accounts Receivable Analysis
Following up with Payer/Insurance
Handling of Refunds
Filing Primary / Secondary Claims
Managing contested claims /appeals
Preparing and mailing patient statements
Creation of customised management reports
Insurance & Patient Overpayment Refunds
Our team analyses the reason for overpayment and processes the refunds to the concerned payer or patient accounts.