The healthcare industry is being impacted conclusively with several changes in regulations regarding safeguarding patient information for the prevention of fraud & malpractices by providers during their billing activities. Controlled accounts receivable is a result of transparency right from the practice management process as well as conclusive claims adjudication process.
Today, there are several players in the revenue cycle sphere that are looking to provide value proposition with their distinct set of practices & software advances. It has been witnessed that outsourcing companies are not only innovating with their practices but also looking to provide real-time value with eligibility verification & other services.
One of the key trends that are witnessed in the urgent care accounts receivable process is the frequent use of technology for better denial management. Several providers of healthcare revenue cycle management are utilizing proprietary query systems for understanding the reasons for denial in a more transparent manner.
Also, the advent of ICD-10 has made medical coding more specific & coders have to be clearer with their coding metrics. It is particularly important with urgent care billing as the process involves complexities due to reduced time in engagement.
Software applications and tools have created a more efficient platform for an improved accounts management process. They can now prioritize on aging accounts with a synchronized history about their denial reasons, which helps them to eliminate errors in claims submission with an upgraded appeals process.
It is also witnessed that with outsourcing, one gets access to dedicated resources providing a holistic perspective in the billing model, along with a clear idea about the insurance company’s claims adjudication process. It makes the provider in the urgent care domain focus on his core competencies while the RCM organization takes care of the tasks required to ensure getting compensated by the Payers on time and to the right measure.
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