Centre State Practice Management possesses unmatched experience in providing consistent and cost-effective payment posting services to various different healthcare organizations and providers. We use this experience to precisely post insurance payment data from ERAs, post insurance checks from EOBs, post patient payments, and print receipts.
Not only does our team of highly trained and experienced individuals accurately gather patient details such has their names, account numbers, control numbers, dates or acquired services, procedures etc, but they also scrupulously analyze all the data to reveal and record all the critical payment patterns such as percentage of insurance receivable, rate of inflows, denials, amount outstanding percentage, and so on.
Once the payment receivable patterns are recognized and recorded, the necessary action plan is forwarded to instruct the billing department of a specific client to take obligatory actions that are required to be taken for a positive impact on revenue inflows. If we identify any difference between the allowed amount and the paid amount, we instantly take it up with the patient and make him/her responsible for reimbursing the unpaid amount and lastly the billing department of our client is instructed to take necessary action to collect remaining amount from the patient.
We ensure the rigorous monitoring and tracking of every unpaid or remaining amount as well as the status of cash inflow on a regular basis. This allows us to flawlessly keep a check on the rate of the cash inflows and take essential actions whenever there is an interruption in revenue generation under unexpected circumstances.
Boosting the efficiency of your workforce up to 70%
Our meticulous ability to deliver the most proficient and consistent payment posting outsourcing services has enables us to deliver 99.99% accuracy in our services
Our detailed tracking and denial reporting services assists you in keeping the denial rate as low as possible.
We take the charge of eliminating all your worries related to unposted cash as we will be posting backlogs within no time.
Here to make you witness saving ranging from 30% to 40% with our payment posting services.Outsourcing your payment posting services for medical billing from us gives you the opportunity of partnering with a company that offers exceptional performance across many parameters such as increased precision, productivity and significant reduction in denials.
Increasing payments with the correct claims processing services
The acquisition of rapid and correct settlement of medical claims is not an easy task. It requires a watchful concern over various variables, and the process can profoundly affect your resources. In order to run a smooth practice, the claims adjudication process must be efficiently handled by experts. Instead of burdening yourself with all this hassle, we urge you to outsource our medical claim adjudication services for all your medical claims adjudication requirements. As we take care of your claims you can continue to work on providing accessible healthcare to your patients in a carefree environment.
We at Centre State Practice management, provide our users digitized healthcare claims adjudication services to increase their productivity and cash inflows. We have a team of expert and highly skilled adjudicators, who are to assist you in optimizing your current procedures, automate your analysis, and assume a safe and digitized workflow. Our client-centric processes handled by a hard-working workforce have established the most reliable medical claims adjudication services that are customized as per the requirement of our clients' business.
verification of the patients eligibility based on their insurance coverage to guarantee reimbursements
reviewing claims to identify the root cause of the existence of fraud or duplicated claims
Thoroughly analyzing the insurance policy and the payment responsibilities of the insurance provider
Evaluating claims to determine all the benefits that would be covered under the umbrella of the insurance policy
Denial management and processing claim reimbursement appeals for better analytical solutions
We start our medical claims adjudication outsourcing services by initially reviewing the entire processing procedure to look for any errors or omissions that can cause significant revenue losses if they remained unchecked. During this review we ensure to take into consideration the importance of verifying patient identity and eligibility so that any misplaced data is instantly obtained for the generation of a complete claim. During the review, our team ensures that the data provided in the claim documents can be verified and backed by original source documents.
Our experts look into more complicated matters regarding claims such as the payment policies pen downed by the insurance payer. This involves inspecting if the insurance coverage is active. Our automated review system also identifies the issues of repetitive claims, delayed filing of claims, and other types of fraud.
Our automated review process evaluates pre-certified or authorized records to identify cases with an issue of missing or invalid pre-certifications. Such cases arise when the diagnosis, procedure, or the date of service cannot be associated to the information provided in the pre-certification or authorization. Also, our automated review process precisely identifies when the authorization number required for a particular service is not acquired or added to the claim prior to its submission.
Our claim examining experts carry out a cross-verification of the claims to validate their authenticity and rule out any possibility of cases where the non-listed services were benefited by patients who did not posses any medical necessity. To achieve this, we follow a detailed review process that verifies if every necessary document is in the required order for the claim to be processed successfully. This prevents the occurrence of delayed or denied claims by reducing claims management process.
While our services are intended to ensure a reduction in denied claims, we also continually provide support in processing claims that are considered paid, as well as reduced claims. We also provide an accurate analysis for determining the root cause for the arousal of denied claims and identify errors that can be prevented in future claims.
Our medical claim adjudication team supports the appeal process for cases where there are inconsistencies between the claim and the policy. We are completely prepared to handle any complexities associated with the appeals process and adjust our procedures accordingly. Our proficient appeals processing services make certain that healthcare providers receive accurate and ample reimbursements for their services and for this, we strive to assist our clients in filing clean claims from the start.
We provide the most reliable and highest quality medical claim adjudication services in the market
We produce the most optimum outcomes in reduced turn around times through our automated systems for efficient process handling
Our proficient and automated procedures reduces your operational costs and increases your claim reimbursements while minimizing denials
We assist you to decrease the tiresome administrative tasks and let you focus on your central activities of providing healthcare services
We believe in the complete privacy of our user’s information and for this purpose we use all types of encryption techniques such as VPNs, firewalls etc during to protect your data.
We conform to the unyielding documented protocols to ensure our compliance with HIPPA.