- DEMOGRAPHIC & ELIGIBILITY
- DENIAL MANAGEMENT
- DASHBOARD & REPORTING
- Claim Appeal
- Payment Posting
DEMOGRAPHIC & ELIGIBILITY
It is the patient’s responsibility to pay for health care services, Eligibility, and benefits verification is vibrant to ensure accurate and timely receipt of information regarding insurance coverage. It is the most important and the first step in the medical billing process. The reimbursements will be affected if there is an insufficiency of insurance eligibility verification.
Our Denial management process thoroughly collects the data required to eliminate denials & provides the feedback on the updates so that denials of the same type can be prevented in future
Once the charge-entry team receives the coding they enter the charges within 24 hours. At this time, the team does an initial audit to make sure the claims will not get denied. Before being sent to the payer, another audit is done to make sure we did not miss anything. We send the claims to the clearinghouse the morning after being entered. We have a clean claim rate of 97%!
Our Medical Billing Specialties
01. Physician Practices
02. Integumentary System
04. Musculoskeletal System
05. Digestive System
08. Emergency Services
09. LAB Services
10. Pain Management
11. Physical Therapy
DASHBOARD & REPORTING
We provide customized Practice Management Reports to our clients on a weekly/ monthly/ Quarterly basis which gives perfect/transparent status on how their practice is performing with respect to patient management and Billing / Collections and also provides information on procedure Payer mix based on which the practice can take business decision to enhance their performance/Revenue.
Billed & Unbilled Status
Clean Claim in % report
Daily Claim Billed & Rejected, Deposit Status Report
Weekly Billed, AR & Lockbox Deposit Status Report
Monthly Status Report
Our follow-up team starts following-up within 10 days of the bill-date to verify the insurance company received the claim. This way we know every claim has been received by the payer and will be processed. The team again follows up every 2-3 weeks afterwards until the claim is paid.
Claims can be denied for any number of reasons. Our claim appeal experts do extensive research and determine what needs to be done to appeal the claim and get it paid. We believe no claim is too small to appeal!
Once Zawna Health receives the Explanation of Benefits from the insurance company our posting team posts it within 24 hours. This means your files will regularly be up-to-date so you can see your revenue coming in.