Revenue Cycle services
While IT systems have a great potential to improve the efficiency of the revenue cycle, due to the subjective complexity, there is always human involvement required. Billers and AR specialists need to ensure that claims sent out are correct, get paid and get reconciled in the billing systems. Many a times follow-ups are necessary with payers and payments need to be posted to ensure that the ledgers are balanced.
If you have been leading a team of billers and AR specialists managing claims, payments, AR, Denials etc. you would relate to the complexities that specialties and settings of operation introduce in the revenue cycle. Below are a few things that we think might be of significance for you.
837/35, 270/71, COB etc.
AR collection from payers
payment posting, ledgers etc.