Accounts
Receivable

Accounts Receivable Follow-Up and Denial Management Services

Accelerate claim recovery and strengthen your cash flow. 

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The numbers are striking. Payers deny 20% of all claims . What’s worse? Providers only rework 40% of those denials.  That’s money left on the table and lost opportunities to promote financial sustainability. Fortunately, there’s a defense: Partner with a team of highly-experienced accounts receivable (A/R) and denial management professionals to improve clean claim rates and recover hard-earned revenue.

Global Healthcare Resource’s strategic approach maximizes your recovery efforts to ensure revenue integrity. Using deep industry expertise, our accounts receivable follow-up and denial management team works with insurance companies to correct and refile as many claims as possible, restoring revenue and profitability so you can focus on providing high-quality patient care.

 

In addition, Global Healthcare Resource’s courteous patient contact specialists  call patients from our secure call centers to educate them about remaining balances, discuss potential payment plans, and collect payments.

With more than 25 years in the industry, we have refined the medical billing A/R follow-up process to ensure optimal reimbursement. Our experts leverage best practices to reduce days in A/R and meet or exceed industry benchmarks. 

Accounts Receivable Auditing Services for Medical Billing

Global's A/R team runs regular audits to identify problematic patterns within your reimbursement cycle and provide insights on how to improve compliance, drive efficiency, and enhance revenue integrity.

Our strategic approach centers on a thorough audit of your medical billing accounts receivable procedures, including:

• Insurance claim accuracy and submissions
• Claim resubmission procedures
• Compliance with coding guidelines
• Coding accuracy
• Automated charge posting

Outsourced A/R Denial Management Services

Optimizing your claim denial process and minimizing your overall denial rate expedites reimbursement and enhances your business's cash flow. Our professional denial management approach encompasses these essential steps:

1. Evaluate denial types and frequency to identify common denial trends.
2. Investigate the reason for each denial, including data and coding accuracy, policy coverage, and delayed submissions.
3. Categorize denials to increase efficiency.
4. Correct and resubmit claims.
5. Monitor performance and adjust strategies as needed.

Global Healthcare Services customizes denial management services based on your project's needs. To explore our team's capabilities, learn more about the specific denial management services we offer below. 

Medical Billing Denial Management

While claim errors can occur at any stage of the revenue cycle, some of the most common causes for denials include: 

• Inaccurate or omitted patient data
• Missed filing deadlines
• Coding-related errors
• Unauthorized procedures
• Duplicate claims
• Conflicting coverage when patients have more than one policy

The good news? Almost all denials are preventable, and  providers can significantly reduce front-end errors by automating scheduling, eligibility verification, prior authorization, and patient demographics.

Outsourcing patient eligibility verification, medical billing, A/R follow-up, and denial management to a trained team empowered by automation improves your operation's efficiency and reduces your claim denial rate.

Coding Denial Management Services

The Global Healthcare Resource denial management team includes highly skilled medical coders committed to data and revenue accuracy. Our process includes: 

• Evaluating clinical documentation
• Reviewing and/or assigning correct medical codes
• Resubmitting amended claims

The medical codes our team assigns undergo strict internal and external auditing processes to ensure we maintain our 98% accuracy rate.

Telemedicine A/R Follow-Up

Given the complexity of ever-evolving telehealth guidelines, organizations must implement proactive strategies to address and avoid denials. Global Healthcare Resource helps you address common billing issues so you can continue to provide these in-demand services without experiencing cashflow disruptions.

Benefits of Outsourcing Accounts Receivable

When you outsource your accounts receivable management to Global Healthcare Resource, our team operates as an extension of yours, affording you several benefits:

• Reduced claim errors: With a medical billing and coding team dedicated to A/R follow-up and denial management, we enhance claim accuracy and reduce denial rates.
• Fewer cashflow disruptions: Our streamlined process minimizes errors to ensure you receive reimbursement as quickly as possible.
• Lower department expenses: Partnering with our team is more cost-effective than recruiting, hiring, and training in-house A/R follow-up employees.
• Enhanced patient satisfaction: Our highly trained and courteous A/R engagement specialists conduct medical billing follow-up calls that engage patients and put them at ease.
• Advanced coding systems: Our accomplished coding team promotes coding accuracy and compliance, clean claims, and timely reimbursement. 

Your Trusted RCM Company for A/R and Denial Management

At Global Healthcare Resource, we leverage our immense industry experience to deliver the best A/R management services. We foster a collaborative partnership to ensure your organization's success. 

Our Global Academy-trained team spans the U.S., the Philippines, and India, giving you access to 24/7-hour service delivery. We never subcontractor our work.

Reach out to us today to learn more about our A/R follow-up and denial management services.