At ORMBS, we are committed to helping healthcare practices navigate the challenges of backlog recovery and aging accounts with expertise and precision. Our dedicated team of professionals specializes in identifying and addressing overdue accounts, streamlining processes, and maximizing revenue recovery.
With years of experience and a deep understanding of the intricacies of medical billing, our experts work tirelessly to resolve outstanding claims efficiently while maintaining the highest standards of accuracy and compliance. We prioritize open communication, transparency, and collaboration to ensure that our clients receive personalized solutions tailored to their unique needs.
Thank you for entrusting us with your backlog recovery needs. We look forward to partnering with you and making a meaningful impact on your practice’s financial health.
BENEFITS & ELIGIBILITY VERIFICATION
BEV is indeed a critical step in the RCM cycle. It ensures that healthcare providers verify patients’ insurance coverage and eligibility before providing medical services. This step helps prevent claim denials due to eligibility issues and ensures that providers are aware of any coverage limitations or requirements. Proper BEV can lead to an increase in revenue by 7-10% or more.
CODING & SUBMISSION
Scrutinizing claims involves thoroughly reviewing them to ensure that they accurately reflect the services provided and that they meet all coding and documentation requirements. This process helps maximize reimbursements by ensuring that claims are submitted correctly the first time, reducing the likelihood of denials or underpayments. By implementing effective claims scrutiny practices and avoiding over-coding, healthcare providers can potentially increase their revenue by 10-20%.
AR FOLLOW UP
AR follow-up is a critical aspect of healthcare billing operations, and allocating maximum resources to this task can yield significant benefits in terms of maximizing revenue, ensuring timely reimbursement, and maintaining strong provider-payer relationships.
DENIAL MANAGEMENT ( Need to update the heading in Black)
ORMBS’s dedication to minimizing denials and their extensive experience in overturning various types of denials are invaluable assets for healthcare practices seeking to optimize their revenue cycle and improve financial performance. This expertise underscores the importance of proactive denial management in ensuring a healthy revenue cycle and sustainable financial success for healthcare providers.
APPEALS / MEDICAL NECESSITY (Need to update the heading in Black)
The combination of a dedicated appeals and reconsiderations team, pre-set and customizable appeal formats, and close collaboration with the AR team demonstrates a proactive approach to denial management in healthcare billing. This approach not only increases the likelihood of overturning denials but also contributes to improved revenue cycle management and financial stability for healthcare providers.
EOB / ERA POSTING (Need to update the heading in Black)
Our approach to daily posting and reconciliation of EOBs and ERAs, coupled with a two-tier quality system, demonstrates a commitment to accuracy, efficiency, and growth in revenue. By maintaining accurate financial records and providing access to meaningful revenue metrics, our team supports informed decision-making and contributes to the financial health of healthcare practices.
Stream Line your Workflow
By scrutinizing a payor mix and tracking prior authorization requirements for different payors and codes, revenue cycle management can be optimized
Prevent Denials
Regularly monitor and analyze denial trends to identify common reasons for denials. Use this information to implement corrective actions, such as additional staff training or process improvements, to address root causes and prevent future denials.
Faster turn Around
Turnaround can be increased by identifying areas for enhancement, and implementing process improvements to optimize efficiency.
