Revenue Cycle Management

BENEFITS & ELIGIBILITY VERIFICATION

BEV is the most crucial part of any RCM cycle. We make sure your patients plan has coverage for the procedure that you are about to perform. This eliminates all eligibility related denials and increases revenue by at least 7-10%.

CODING & SUBMISSION

Claims are scrutinized ensuring maximized reimbursements without over-coding which is one of the ways we typically increase clients.

AR FOLLOW UP

We all know that Insurances will deny claims. Thus AR follow-up is the most critical part of any billing work flow. Accounts receivables follow-up ensures timely turn around of rejections and denials. Here at Maxx Healthcare, we make sure that maximum resources are allocated to the AR follow-up team so that a high number of submitted claims can be timely followed up on to enable quick action and re-working of the denials.

DENIAL MANAGEMENT

We make sure your AR experiences minimal denials. Our experts have extensive experience in overturning all types of denials.

APPEALS / MEDICAL NECESSITY

We have a separate appeals and reconsiderations team that works closely with the AR team. The team has both pre-set

EOB / ERA POSTING

We make sure all your EOB’s ( Explanation of benefits ) and ERA’s ( Electronic remittance advice ) are posted and reconciled daily.

PATIENT STATEMENTS

With patient balances among the largest of owed buckets, successfully collecting their balances after insurance and co-payments is a must.

REVENUE ENHANCEMENT MEETS

We keep our Billing workflow highly transparent with the client. The Billing teams work flow logins are shared with the client for complete