In an era of declining reimbursements and high-deductible health plans, profit margins are tighter than ever for most medical practices. That’s why having an effective revenue cycle management system is so important.

Positive Daily Cash Flow

Our expertise in managing medical insurance claims, billing and accounts receivables for all healthcare specialties, such as ambulatory surgery centers (ASC), chiropractic, dental, durable medical equipment (DME), neurology, neurosurgery, optometry, ophthalmology, pain management, radiology and more, means more accurate coding, fewer denials and increased cash flow.

More Time for Patient Care

We’ll take care of all the administrative details—even eliminating the hours you and your staff spend on the phone with insurance companies. The result: more time to see more patients and generate more revenue.
 

Uninterrupted Service

No need to worry about delayed payments, planning for staff vacations, unplanned sick days, staff turnover or costly re-training.  
 

HIPAA-Compliant Services

We eliminate the PHI worry factor by complying with the highest levels of privacy and security at every point in the revenue cycle management process. 

revenue-cycle-services

Services tailored to your practice

Eligibility and Benefits Verification
Verifying a patient’s insurance eligibility and benefits is a critical first step.  We ensure that demographic and insurance data are correct by verifying plan coverage and the amount a patient may owe (e.g., co-pays, co-insurance and deductibles).

Patient Demographics and Charge Entry
We take the worry out of entering error-free patient demographics before we file insurance claims.  We understand the importance of accurate charge entry so your practice can collect maximum reimbursements, decrease payment denials and increase profitability.

Provider Credentialing
The first step in the revenue cycle management process is making sure the provider has been approved by the insurance carrier. Our credentialing specialists simplify the process by submitting and tracking provider credentialing applications based on insurance plan requirements. 

Medical Coding
Our certified coders have extensive experience in all healthcare specialties. They’re well versed in CPT and ICD-10 coding, billing with code modifiers, electronic data interchange (EDI) processes, industry standards and maintaining 100% HIPAA compliance. We will bill the best way possible, adhering to strict coding and audit guidelines. 

Claims Submission 
We know the ins and outs of your payers best. We’ll make sure your claims are clean and free from errors before we submit them—delivering a consistent and positive cash flow for your practice.  Once we file claims electronically, most of our practices see insurance payments in less than two weeks instead of the 3 to 4 weeks that top commercial payers take.

Secondary Claims Filing
If a patient has secondary insurance, you can run into timely filing denials. Many payers require you to bill a secondary carrier within a specific period, after you receive the primary payment.  We’ll keep those remits posted and claims processed daily. 

Payment Posting
We post payments that come in through Electronic Remittance Advice (ERA) and standard paper Explanation of Benefits (EOB) within 24-48 hours directly into your practice management system, so you have accurate and up-to-date accounts.

Insurance Follow-up
We can help you reduce the number of hours you spend each day on the phone with insurance companies, so you can see more patients and increase revenue. We’ll verify receipt of claims with insurance companies for you too.

Claims Audits
Avoid delays in reimbursements with claim audits. Fast Pay Health specialists are experts at making sure your insurance claims are clean and free from errors. We review accounts receivable aging claims daily to see why open balances are still outstanding. We believe that preventing those rejections in the first place is the best way to expedite revenue recognition. 

Accounts Receivable (AR) Clean Up
We review accounts receivable and aging claims daily to see why open balances are still outstanding. We analyze unpaid claims then take the necessary steps to recover the amount due. 

Denial Management
Researching unpaid or denied claims is a time-consuming process. We analyze all unpaid claims and EOBs and take the necessary steps to correct and reprocess rejected claims to recover the maximum payment possible. 

Quality Reviews
We believe in cross-checking every process, so our quality review team monitors every step of the revenue cycle management process.   

Business Analytics
Our comprehensive financial and performance reports analyze business trends, activity and the work completed for your practice, providing you with the insight into business strategies that will help you move your practice forward.