Data entry
we obtain information from the provider and/or practice and enter this information into our database.
Statements
Are mailed out from our office on behalf of the facility. The protocols of statements and collections are done specifically to client’s specifications.
Payments
As we receive payments and explanations of benefits from the client, we post these into our database. Each EOB will be audited for correct payment and/or benefits.
Demographic & charge entry service
We have expertise in Demographic and Charge entry service for many Specialties ranging from General Practice to more complicated specialties. We provide demographic identification and verification as patients register for healthcare services
Claim Submission
The claims submission to insurance company proceeds electronically after demographics and charges are entered into the billing software. Speeding up the reimbursement and reducing the claim rejection.
Most claims are filed electronically and only a few go on paper. This is dependent upon the insurance carrier the claims are going to.
Our Medical Coding Experts
Our Medical Coding Experts ensure there is a steady stream of healthy reimbursements for healthcare facilities.
Diligent medical coding services help secure the bottom line of healthcare facilities. Minute mistakes in documentation often lead to expensive claim denial and adjudication consequences for care providers. Addressing the likelihood of errors in filing claims is the need of the hour.
Our Medical Coding includes:-
- Inpatient DRG Coding
Outpatient (OP) Coding
Coding Issues and Appeals
Insurance and Eligibility Verification
Elite can help practices dramatically reduce their accounts receivable cycle and increase revenue, by significantly reducing the impact of ineligibility, and increasing the number of “clean” claims that are sent to insurers (i.e., claims that are both complete, and are only for patients who are eligible for benefits). Unfortunately, eligibility verification is one of the most neglected elements in the revenue cycle.
In the absence of proper eligibility and benefits verification countless downstream problems are created; delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, ELITE provides a remotely hosted Centralized Eligibility Unit for Hospitals and Faculty Practice Plans. The solution consists of ELITE deploying staff, technology, management and expertise with the objective of delivering high-quality cost-effective patient insurance eligibility and related services.
Payment Posting Services
Cash Posting. Elite’s professional Cash posting Service delivers account creation and payment posting service for each individual patient record and effectively lowers the overall cost of Healthcare Providers. Recording and managing of cash posting service require expert and dedicated human skills and innovative technology. Our highly skilled and experienced executives do Insurance payment posting, Self-pay posting and Denial posting, maintaining high levels of accuracy and confidentiality.
Our success in cash posting service has been driven through the successful assimilation of technology and customer focus. We have constantly invested in technology and experienced manpower. Our solutions have increased productivity and reduced equipment, manpower and infrastructure costs.
Accounts Receivable
Many healthcare providers have tried managing accounts receivables, in the process ended up mismanaging the whole thing, resulting in reduced cash flow and increased collection cost and negligence. Our account receivable service improves cash flow, reduces account receivables, increases collection ratios, and enhances customer relationships with timely Accounts Receivable Follow-Up Service.
- Receivable Analysis
- Payer Follow-up
- Denials Management Reporting
- Practice Analysis
- Assessment Process: Daily Insurance aging report is run and claims are analyzed. The analysis is done to identify:
- Unpaid Claims
- Low Paid Claims
- Denied Claims
- Rejected Claims
- Claims not on file