Providing quality patient care while simultaneously tracking practice revenue is a balancing act that many physician offices find difficult to manage. AQuity Solutions Physician Office Billing and Collections can manage your revenue cycle management (RCM) and help you achieve optimized profitability. From improving documentation details, finding missing appointments, and following through on expected payments, AQuity can quickly handle each step in your RCM process and reduce delays in your revenue cycle – giving you the time to focus on your patients instead of your paperwork.
What can AQuity Solutions do for your office?
- PATIENT APPOINTMENT
Provide insight on missing follow-up appointments or procedures not being scheduled on time. - ELIGIBILITY AND BENEFITS VERIFICATION
Check the patient’s insurance for eligibility and alert providers when a visit will be out of pocket. Verify the authorization for the correct dollar values of a procedure. Obtain prior authorization for procedures from the insurance provider. - ENCOUNTER DOCUMENTATION IMPROVEMENT
Review documentation and coding for the correct service codes and levels. - CHARGE ENTRY AND BILLING
Ensure charges and patient details are entered correctly on the claim forms. - CLAIM SUBMISSION
Submit claims with accurate justifiable codes for optimized reimbursement. - CLAIM REJECTIONS
Review rejected claims daily and rebill with corrected information to minimize delays. - PAYMENTS AND POSTING
Post payments in the system and follow up on accounts receivable immediately when due and continue efforts until payments are received. - SECONDARY CLAIM SUBMISSION
Provide the front office daily with the list of patients, outstanding bills, and insurance copays for their visits. - DENIAL MANAGEMENT
Quickly correct claims that are denied, reducing payment delays. - MEDICAL APPEALS
Submit appeals within the timeframes specified by the insurance carriers to ensure payment. - REFUNDS
Deliver refunds or record required adjustments for the next payment if there is an overpayment.
