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WHOLE RCM SERVICE FOR HEALTHCARE INSTITUTIONS

VERIFICATION OF BENEFITS & ELIGIBILITY

The most important component of every RCM cycle is BEV. We check to see if the procedure you are going to do is covered by your patient’s insurance. By doing this, all eligibility-related denials are eliminated, and income is increased by at least 7–10%.

CODING & SUBMISSION

Claims are carefully examined to ensure that reimbursements are maximised without over-coding, which is one of the ways we normally grow our clientele.

AR FOLLOW UP

Insurance companies routinely reject claims, as we all know. So, the most crucial phase of any billing workflow is the AR follow-up. Follow-up on accounts receivables ensures that rejections and denials are processed promptly. At Maxx Healthcare, we make sure that the AR follow-up team receives the most resources possible in order to swiftly follow up on a large number of submitted claims and enable speedy responses and reworking of the denials.

DENIAL MANAGEMENT

We ensure that there are less denials for your AR. All forms of denials have been successfully overturned by our specialists several times.

APPEALS / MEDICAL NECESSITY

We have a distinct appeals and reconsideration staff that works closely with the AR team. The squad has already set both

EOB / ERA POSTING

We guarantee that every one of your electronic remittance advices (ERAs) and explanations of benefits (EOBs) is posted and reconciled each day.

PATIENT STATEMENTS

Successfully recovering patient balances after insurance and co-payments is essential because they represent one of the largest categories of unpaid debt.

REVENUE ENHANCEMENT MEETS

Our billing process is completely open to the client. The client is given total access to the billing teams’ work flow.