Revenue Cycle Management

Patient Reminder Calls

Reminding patients helps your front-office employees, reduces no-shows, and boosts patient happiness.

Demographic Entry

Did you know that mistakes in the patient demographics capture cause medical offices to lose up to 7% of their annual revenue?

A/R days are decreased, reimbursements are made on time, and there is less rework when patient information is entered accurately. Our patient registration team is trained to identify mistakes made during the patient registration procedure.

Charge Entry

Our value declaration

Through set goals for our agents, increase entry process efficiency and accuracy.

Depending on the capability offered by the billing programmed, our development teams frequently also handle charge entry.

We have expertise in a variety of medical areas.

Utilizing our expertise we decrease our turnaround time and ensure claims are filed on time.

tracking of denial patterns and constant benchmarking of fee schedules to ensure a decrease in claim denial

Utilize charge audit to increase revenues and locate lost money.

Electronic Submission

The following advantages are provided by the work editing and rejection management teams of ORELINX healthcare Solutions.

Costs are reduced by 30–50% thanks to our worldwide delivery methodology.

By resolving difficulties up front, claim denials can be avoided.

Reduce the number of claims that are refused to speed up the accounts payable cycle.

Payment Posting

The payment received through ERAs or EOBs are accurately posted by our payment posting staff, who worked around the clock.

Before entering any checks into the system, we confirm them with the front office staff or insurances

They evaluate the underpayment and denial patterns as well and report them to the provider office.

AR Follow-Up and Denial Management

The following advantages are provided to our clients by our comprehensive A/R and denial management services:

Instead of only learning the status of the claims, we concentrate on fixing them.

We take advantage of opportunities to lessen the need for manual claim status checks by increasing the utilization of technologies like web portals.

Insurance companies must respond to a specific set of questions for each claim status code in order to effectively resolve the claim. We have established web-based workflow solutions for our claims follow-up work queues to enhance the quality of the paperwork.

To have a clear understanding of the A/R and concentrate our efforts on solving, we produce multi-variate reports.

Our clients observe a 20% decrease in days-in-a/r and an improvement of roughly 20% in collections.

Reporting

Reporting is a crucial component of Medical billing that enables the practices to learn about the problems in the practice and a number of other facets of your business

On a monthly basis, we give our clients the following reports.

Report on E&M distribution

Report on Provider Productivity and Payer Performance

Report on a practice overview

We deliver any requested reports from the provider office in addition to the reports stated above.

Authorization and VOB

Your practice accounts receivable cycle can be speed up with the assistance of our team of professionals. Before the patient attends the doctor's office, we make sure they are eligible and have the required prior authorization.

The following actions will be taken by members of our staff as part of the verification procedures:

Obtain the hospital or clinic's or healthcare provider's office's patient schedule.

Compile the patient's demographic data.

With the patient's primary and secondary payers, confirm coverage of benefits. Determine whether the patient has legal coverage as of the date of service. Determine the patient's liability for copays, coinsurance, and deductibles.

Update the hospital's revenue cycle system or the patient's practice management system with the information collected from the payers, as necessary. The team will begin prior authorization requests where necessary and obtain approval for the service