Accounts Receivable (AR) and Denial Management
Let money flow into your account by leveraging tech-enabled RCM services
Account Receivable and Denial management
Maintaining the cash flow is one of the biggest challenges healthcare providers faces. The revenue of hospitals and healthcare providers depends entirely on payments received by patients and insurance payers. Collecting payments from the patients and getting 100% reimbursement from payers is tough as they both give several reasons to deny the payments. These denials drastically affect cash flow, and Accounts Receivable (AR) keeps growing.
Calpion very well understands the significance of cash flow for healthcare practices and provides excellent Accounts Receivable and denial management services. We have a team of 800+ professionals who have served numerous clients and delivered results for them. There is no particular reason for denials to happen, but there are many standard techniques that can eliminate these denials and prevent your ARs from rising. We at Calpion perfectly blend denial management techniques with processes to produce solutions that are tremendously advantageous for our clients.
What Calpion does for Accounts Receivable and Denial management that makes us different
Accounts Receivable (AR) and Denial management is an inherent part of medical billing RCM processes. It is vital for a successful RCM as it leads to healthy cash flow. Effective Accounts Receivable and Denial solutions can fix the leakage in revenue flow. Plutus Health Inc., the healthcare RCM service vertical developed by Calpion, has been providing Accounts Receivable and Denial management services for the past 18 years. Our team can promptly resubmit, and repair denial claims by effectively following the proven procedure.
Aggressive follow-ups
We have developed automated payment status check bots to make the payment status check process error-free and efficient. Our bots help the clients with a faster turnaround time for payment status retrieval. We keep track of payments from payers and patients separately to avoid confusion and provide a detailed report on the amount collected vs pending.
Payment status check
We have developed automated payment status check bots to make the payment status check process error-free and efficient. Our bots help the clients with a faster turnaround time for payment status retrieval. We keep track of payments from payers and patients separately to avoid confusion and provide a detailed report on the amount collected vs pending.
Closely work with In-house team
Our Accounts Receivable (AR) and Denial management team closely works with your In-house team to resolve outright denials and underpayments. Our solutions integrate smoothly with your EHR software and provide results aligned with your financial goals
Why choose us?
Working with industry experts who can pick up the complex tasks of medical billing AR & denial management and deliver precise, accurate results is vital.
Calpion Inc. offers a complete solution for AR and Denial management in healthcare. Our team will do the following things for you:
- Correct invalid medical codes
- Revalidate clinical information before resubmission
- Mail appeals letters to address incorrect names, modifiers, or invalid codes
- Submit supporting clinical documentation
- Get and complete all required forms
- Resend appeals that don't contain all documentation requirements
- Request prior authorization denials
- Obtain and document reference numbers when conveying with insurance
- Follow-up effectively
.png){kind=small}