Revenue Cycle Management

Anayra Infotech is a well known medical billing company in India. Anayra Infotech is the leading provider of Revenue Cycle Management Process in the healthcare industry. We are aware of HIPPA and PHI compliance and we follow them throughout. In the Healthcare industry, we provide the best solution for Revenue Cycle Management. RCM is a very vast field and we know how to go step by step. In RCM, everything is inter-related so we can’t skip any of it. 

If you are looking for medical billing outsourcing companies in India then here Anayra Infotech is your last stop. 

RCM is the backbone of any healthcare industry.  Anayra Infotech is the best healthcare companies in India. In the healthcare industry, RCM is a really important factor. In RCM, we have to manage all financial transactions that outcome from the medical encounter between a patient & provider and keeps them going on a daily basis this is the process of Revenue Cycle Management (RCM). These transactions include billing, collections, provider enrollment, coding, data analytics, management, and compliance.  RCM starts from pre-registration of a patient and ends with payment collection. RCM is the business process that enables organizations to be paid for providing healthcare-related services.

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RCM cycle includes the following steps and we provide a solution for every individual step, check out here:

– Patient Scheduling

– Eligibility & Benefit Verification

– Patient Demographics Entry

– ICD, CPT, and HCPCS Coding

– Charge Posting

– Claims Submission – Electronic Billing & Paper Billing

– Payment Posting

– AR Follow up & Denial Management & Appeals

– Patient Statements

– Reporting

 Let’s talk about step by step in detail:

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Patient Scheduling –

In this step, the patient needs to take the appointment of a doctor for there diagnosis and meets the doctor, discuss there treatment. Once the patients work done, Anayra Infotech is here to take care of the rest of the things. Our company is one of thee best healthcare companies  in nagpur.

Eligibility & Benefits Verification–

In this step, our company verifies the patient is eligible for insurance or not.

At anayra infotech we understand the importance of patient eligibility & their benefits :

  • Minimize delays and denials considerably
  • Improve collections by reducing write-offs

 Insurance eligibility verification process at Anayra Infotech:

  • Receive Schedules of patients via EDI, email and check them every day in the appointment scheduling software.
  • Verify patients insurance network with primary and secondary payers by making calls to the payers and checking through their authorized online insurance portals.

 

  • Verify the medical billing system with eligibility and verification details such as member ID, group ID, coverage period, co-pay, deductible, and co-insurance information and other code-level benefits information.
  • In case of issues regarding a patient’s eligibility, we inform the client/provider immediately
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Patient Demographics Entry–

In patient demographics entry, we take accurate information about patient insurance and demographic details completely. It’s a very essential key to the success of the revenue cycle. It includes receipt of patient information from the client through a secured network, validation of patient information, uploading patient demographic and insurance details in the medical billing software. Anayra infotech provide medical billing services  in nagpur. We have various  medical billing outsourcing services.

ICD, CPT, and HCPCS Coding–

 In this we assess medical services and proper CPT code guidance. We are providing the following medical coding services: ICD, CPT, HCPCS coding.

medical billing outsourcing
outsourced billing services

Charge Posting –

Charge entry includes CPT codes, DX codes, doctor’s information and the charge amount. Charges are capturing from all services for documenting and coding. All clinical care documentation should match with coding and charge capture. We provide transparency and ensure appropriate patient classification. Many people get confused while doing this task but we do it in a well-organized manner.

Claims Submission –

Electronic Billing & Paper Billing- Creating claims in two ways either manually or electronically and submit this claim to either the insurance provider, a clearinghouse, or other claims transmission vendor.  Our workers submit this clean claims to various insurance carriers we provide accurate data. We have a quality team to audit claims before sending so that you will get accurate data. Anayra infotech is the very well medical billing agencies in nagpur.

healthcare companies in India
healthcare companies in India

Payment Posting–

With the help of EOB and ERA we check whether patient needs to pay a doctor or not. We also manage and avoid any type of errors in the billing cycle. In this, we do payment posting in a various way like paper payment, card payment, electronic payment. Our company provide outsourced billing services.

AR Follow up & Denial Management–

After tracking submitted claims we have to ensure whether the submitted claim is correct or not. In response to denials or partial payments, we take appropriate action. Payer collaboration further ensures optimal payment outcomes and process efficiency.

We have extensive experience in maximizing payer reimbursement which approaches to receivable segmentation, continuous feedback, and high-quality & consistent resolution methodologies.

We also offer error resolution, reconciliation, and collaboration across the revenue cycle and clinical departments.

rcm healthcare services
healthcare companies in India

Denial Management & Appeals–

Anayra Infotech is dedicated to solving the issue created in lost reimbursements and denials with highly efficient systems. One of the main problems faced by healthcare providers and medical billing companies is that a large proportion of rejected claims goes unattended and never resubmitted. Anayra Infotech denial management process covers and resolves the problem leading to denials and shortens the accounts receivables cycle. The denial management team establish a trend between individual payer codes and common denial reason codes.

Reporting –

Below is the list of services for which we provide reporting:

• The Accounts Receivable Aging Report

• Payment Trend and Collection Reports

• The Key Performance Indicators Report

• The Top Carrier/Insurance Analysis Report

• Patient Payments-Payment Collected from Patients

• Tracking Clearing House Rejections can help achieve benchmark metrics

Tracking payer reimbursement metrics are key to reducing days in AR

• Tracking denials: Why every practice needs analytics to bring down denials!

• Find out what CPTs are contributing the max to the revenue of your practice

• No. of claims submitted

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We have a quality team to recheck all the work so that we provide 100% accurate data. By hiring us for your process you won’t be dissatisfied. We revalidate each and every process very carefully.