Improving Collections For Dialysis Center

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Improving Collections For Dialysis
Center
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Improving Collections For Dialysis Center
Dialysis providers face financial and operational
challenges due to flat or reduced reimbursements,
staffing shortages, and increasingly complex
insurance requirements. Dialysis centers,
nephrologists, and renal pharmacies also have to
wrestle with the impact of a growing shift in
dialysis care to the home setting. The good news
is that despite these challenges, dialysis
providers can sustain strong cash flow, reduce
costs, and mitigate denials by outsourcing their
revenue cycle operations to the medical billing
company, Medisys Data Solutions. In this article,
we discussed how we can help in improving
insurance and patient collections for dialysis
center in todays difficult operating
environment. Identify Insurance Coverage Failure
to identify existing insurance coverage can
result in significant write-offs. Most of the
time providers confuse between active insurance
and covered services. Patients who have active
insurance coverage dont mean their insurance
will provide payment for planned services. We
provide eligibility and benefits verification
services for every patient visit. We share
insurance coverage reports which will help to
understand covered services, the need for prior
authorizations, unpaid deductibles, and
co-payments. Patients sometimes present
themselves as self-pay even though coverage
exists, such incidents can be avoided due to
insurance coverage reports. We can help identify
undisclosed coverage for end-stage renal disease
(ESRD) patients through Medicare/Medicaid,
Disability/SSI, third-party liability, commercial
insurance, state and county programs, social
programs, and charity.
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Improving Collections For Dialysis Center

• Managing Prior Authorizations
• Streamlining the prior authorization process is
  essential to help ensure optimal reimbursement
  for renal care rendered, particularly with
  commercial insurance and Medicare. The prior
  authorization process is time-consuming and needs
  to be handled by a billing expert. Failure to
  take prior authorization may lead to permanent
  denied payment from insurance carriers. Our team
  will analyze every insurance coverage report and
  highlight the need for prior authorizations. We
  will complete the registration, fulfilling
  medical necessity requirements. We will also
  capture prior authorizations reference number
  which will be required while submitting the
  claim.
• Reading Electronics Remittance
• To ensure accurate insurance reimbursements, just
  submitting a clean claim is not sufficient, you
  have to track every single claim. The insurance
  carrier will share electronic remittance advice
  (ERA) or explanation of benefits (EOB) sharing
  payment status for every single claim. We will
  read every ERA to find out rejected and denied
  claims, we will also highlight claims with
  reduced payments. Based upon remark codes we will
  work on rejected and denied claims and will also
  look for payers requests for additional
  documentation. We will post payments in your
  billing systems as per every line item in ERA.
  With the payment posting report, you will get a
  complete idea about the number of paid claims,
  rejected claims, denied claims, and insurance
  reimbursements received.

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Improving Collections For Dialysis Center

• Billing for Recurring Services
• Creating claims for ongoing ESRD care requires
  repeatedly documenting the same details on each
  claim. Our prior submitted claims act as a
  reference for dialysis staff where they can
  simply replicate the unchanged data from prior
  visits and can update date-of-service and other
  information to expedite claims processing.
• Improve Medicare Reimbursements
• Medicare is one of the largest payers of dialysis
  services, so ensuring a problem-free and
  expedited Medicare claims submission process is
  essential to strong cash flow. We check your
  Medicare claims for eligibility errors and submit
  the claim without any delays. It can help
  expedite reimbursement, reduce AR days, and speed
  your Medicare primary claim cash flow. Claims
  needing attention are highlighted and sent to
  providers for additional details.
• Collecting Patient Liability
• Our insurance coverage report will help to
  identify patients insurance coverage and patient
  liability/responsibility. You can also share this
  insurance coverage report with patients to give
  them cost estimation for the services. You can
  collect deductibles and co-payments at the time
  of visit from such well-informed patients. You
  can also provide them with various payment
  options including online and credit card payments
  for better collection of the patient liability.
  We can help you to collect more patient payments,
  get paid faster, reduce your collection costs,
  and ultimately help to lower patient write-offs.

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Improving Collections For Dialysis Center
A reliable medical billing company Our deep
knowledge of renal care billing and understanding
of payer policies and reimbursements guidelines
can help dialysis centers collect reimbursements
accurately and more quickly. Unlike other billing
companies, addressing a specific revenue cycle
issue, Medisys Data Solutions provided complete
revenue cycle solutions for your dialysis center.
If youd like to learn more about our dialysis
revenue cycle management solutions, contact us at
info_at_medisysdata.com/ 302-261-9187
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