RCM Suite
Patient Demographic Entry & Charge Entry
For the purpose of paying the claim, every detail on the patient demographic form is essential. For claims to be processed effectively, accurate data entry is essential. To ensure claim payment, we at Pulse Billing Solutions carefully record all demographic, insurance, and charge information with the utmost precision. Data entry can be finished before your workday starts, and your claims can be forwarded to payers quickly.
Medical Coding
For your clinic to receive the proper reimbursement and prevent claim denials, accurate visit coding is essential. Every visit is accurately coded and submitted to insurers by our staff of skilled coders, all of whom are AAPC certified and have a wealth of expertise. We keep you efficient and compliant by having a thorough awareness of the most recent upgrades and coding rules. Our staff works through the night to give finished codes before you wake up. Because of the lower cost of living in the US, you can get excellent coding services from our highly skilled staff for a fraction of the price of options based in the US. With the expert and affordable coding assistance of Pulse Billing Solutions, you can maximize your revenue cycle management.
Payment Posting
For your practice to track payments precisely, keep correct records, and maximize revenue cycle management, efficient payment posting is essential. Every payment is carefully documented and posted to the appropriate account thanks to the efforts of our team of skilled payment posting specialists. Your expensive onshore crew shouldn't be burdened with this labor-intensive duty. Errors may also lead to denials and delays in payments. You can be sure that your payments will be posted promptly and correctly when you use our services. Our strong reporting system ensures data accuracy by establishing comprehensive checks and balances. Pulse Billing Solutions global experts also handle denials proficiently and effectively, ensuring you receive the maximum reimbursement
Denial Management
Although denials are unavoidable and require careful consideration, they might deplete the resources of your company. Pulse Billing Solutions guarantees a distinct experience than other suppliers, who can just report a refusal and leave you in the dark. We actively look into any claims that have been outstanding for more than 14 or 30 days, depending on your preference, create a thorough summary, and then collaborate with you to create a customized process to deal with these denials going forward. In order to ensure a smooth integration, we will jointly determine whether your team or ours should oversee the procedure. Because of our committed approach, we aggressively address every denial and expedite the process of obtaining the highest possible reimbursements. You can improve your revenue cycle management and increase your profitability with Pulse Billing Solutions.
Provider Credentialing
Obtaining network access has grown more difficult in the current healthcare environment due to the constant and complex certification process. This important aspect of revenue cycle management necessitates specific regulatory and healthcare knowledge. We take care of the complexity for you at Pulse Billing Solutions. Our industry professionals carefully evaluate the viability before you even submit your application to make sure your work is worthwhile. After your eligibility is determined, we carefully finish your application and maintain your CAQH profile, making sure it is current with any insurance panel requirements and required modifications.
Eligibility & Benefits
Verifying and validating patient eligibility and insurance coverage for medical services is our area of expertise at Pulse Billing Solutions. This important revenue cycle management phase guarantees that you are paid for your services in a timely and accurate manner. Our team of offshore professionals quickly determines eligibility using cutting-edge methods, ideally before to the arrival of your patients. In order to ensure a smooth and effective procedure for both you and your patients, this proactive strategy enables you to contact patients ahead of time to confirm other payment methods or update their insurance coverage. Allow us to assist you in optimizing your financial performance and streamlining your revenue cycle.
Intake Process
In order to guarantee the generation of precise and thorough medical claims, Pulse Billing Solutions intake procedure is the crucial first step in gathering and recording pertinent patient and healthcare data. Maintaining a smooth revenue cycle and improving reimbursement results depend on this fundamental step.Our intake process includes:
Patient Registration: Welcoming and recording patient details.
Medical History: Compiling comprehensive medical backgrounds.
Insurance Verification: Confirming patient coverage and benefits.
Authorization and Referral Checks: Ensuring necessary pre-approvals.
Medical Coding: Translating medical records into standardized codes.
Charge Entry: Recording services provided for billing.
Claim Generation: Preparing and submitting claims for reimbursement.
For a deeper understanding of how we streamline your revenue cycle management, contact us at Pulse Billing Solutions.
Patient Statements
Patient statements are essential documents in medical billing that provide patients with a clear overview of the medical services they have received, associated costs, insurance contributions, and any unpaid balances. These statements are crucial for transparent financial communication in order to assist patients in understanding their expenses and ensure timely payments. For further information, contact Pulse Billing Solutions.
Client Audits
Client auditing, also known as provider auditing or medical code auditing, is a thorough examination and evaluation of medical coding and billing procedures used by billing businesses, healthcare organizations, and medical facilities. The precision, adherence, and caliber of these procedures are guaranteed by this procedure. Ensuring that all coding, invoicing, and documentation comply with industry standards, legal regulations, and payer-specific specifications is the main goal. Get in touch with us at Pulse Billing Solutions to find out more.