Claims Process, Evaluation and Enhancement
Our experienced team works onsite to manage claims variety of areas, including Insurance Verification, Charge Processing, Charge Description Master, Case Management, Health Information Management, Billing, Follow up / Collections, Payment Posting, Bad Debt / Agency Management and more. We ensure that our claims processing and management system is configured for each critical component of the process. Our team has extensive industry knowledge on claims processing and on various internal and external components that comprise of claims management.
The expertise of CHISS helps to bring an up-to-date, secure, reliable and easy-to-use claims management system to your company’s processes. We focus on integrated and centralized medical claims management so that the processes are organized and easily accessible.
Our claims management system allows creating customized rules that ease the workflow and best practices of your bill review operation. This enables every bill to be reviewed correctly each time without any dependence from your organization's IT department. This greatly helps in increasing your organization's productivity and enhances claim success rates.
RCM Consultancy Client Benefits
We ensure 100% charge capture to ensure every service performed is billed leading to increased account accuracy.
The documents, process are verified on time to ensure that delays and rejections do not happen during later stages.
All the documentation related to medical practices is handled by us so that you can concentrate on your practice.
By stream lining the management system properly, we are able
to maximize the revenue
We have specific, proven billing and coding expertise with which we are able to accurately code and execute.
Properly managed revenue cycle management ensures that the AR days outstanding are reduced considerably.
Comprehensive accounts receivable management system is put in force to increase cash flow and reduces bad debts.
We undertake aggressive denial, appeal, and underpayment management so that the volume of claim denials is minimized.