For hospitals, receiving timely and accurate reimbursement is crucial for smooth operations and providing quality patient care. However, medical billing intricacies like changing payer requirements, claim denials, and recovering lost revenue can hinder reimbursement. This diverts focus from patients to administrative hassles.
At AltuMED, we provide expert solutions for timely, accurate reimbursement to hospitals. Join us in our mission to enhance the professional development and recognition of the medical services profession through education and advocacy. Together, we can ensure healthcare quality and patient safety.
Verifying patient insurance eligibility and coverage is a critical step in the billing process. It ensures that the services provided are covered by the patient's insurance plan, reducing the risk of claim denials and ensuring timely and accurate reimbursement.
Accurate coding of hospital billing services procedures is essential for proper billing and reimbursement. Adhering to CPT, DRG, and ICD guidelines ensures that the services rendered are appropriately documented and billed, reducing the risk of claim denials and supporting accurate financial reporting.
Scrubbing claims involves a thorough review of billing data to identify and correct errors before submission. This process helps prevent claim rejections and denials, ensuring that claims are processed and reimbursed on time.
Utilizing rapid electronic submission processes expedites the delivery of claims to contracted payers. This accelerates the reimbursement process, reducing the time between service delivery and payment receipt.
Diligent follow-up and appeals processes are essential for maximizing reimbursement. This involves tracking the status of submitted claims, identifying denials, and pursuing appeals to ensure that all eligible services are properly reimbursed.
Timely and accurate posting of payments and generation of patient invoices are critical for maintaining financial transparency and patient accountability. This process supports accurate accounting and patient billing.
Customizable analytics provide valuable insights into billing performance, allowing for the identification of trends, areas for improvement, and opportunities to optimize the revenue cycle management process.
WHAT OUR CLIENTS SAY
AltuMED with their efficient AR management have made us stress free. 70% of our non clinical burden have been taken care off now. I am impressed by their 360 grasp on our billing needs. It gives me more time to attend to my patients.
Michigan Cardiology Associates, Wayne, Michigan
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