At Fresh RCM, we are dedicated to transforming the financial health of dermatology practices through expert Revenue Cycle Management services. Our team comprises seasoned professionals with extensive experience in dermatology billing and coding, committed to delivering excellence in every aspect of RCM.
Our Eligibility verification team confirms the patient's insurance coverage and benefits including the patient's insurance plan, coverage limits, copayments, outstanding deductibles, and any pre-authorization requirements. This ensures that healthcare providers can accurately determine the patient's financial responsibility and bill the correct insurance plan, minimizing claim denials and delays in payments.
Coding for dermatology practices is an increasingly complex discipline requiring ongoing attention to regulatory changes, patient care and clinical documentation. Our unique combination of talent, technology and a proven expert team converts clinical notes into valid procedures, and diagnosis codes and includes required modifiers.
Our Claim submission team reviews and scrubs medical claims before submitting them to insurance companies for reimbursement. This includes compiling all necessary documentation, ensuring codes are accurate, including referral and authorization and submitting the claim electronically or through paper forms. Our quicker billing turnaround time helps avoid timely filing denials.
Our AR and Denial management team tracks and addresses claims that have been denied by insurance companies. This process includes identifying the reasons for denial, correcting errors, resubmitting claims, and appealing denials when necessary. Effective denial management helps recover revenue that might otherwise be lost. We also strive to analyze the denial trends to avoid repeated errors.
Our Payment posting team records payments received from insurance companies both via electronic remittances and paper EOBs and patients in the practice management system. This includes updating patient accounts to reflect payments and adjustments. Timely and accurate payment posting is crucial for maintaining up-to-date financial records. We also set up electronic remittances to avoid paper EOBs.
Our Patient accounting team sends detailed bills to patients outlining the services provided, the amount billed to insurance, and any remaining balance that the patient is responsible for paying. We also validate the patient balances before sending statements to avoid erroneous billing. Clear and accurate patient statements help ensure patients understand their financial obligations and reduce confusion and disputes.
Our Business Intelligence and Analytics team generates and analyzes various reports from the practice management systems to monitor the financial health of your practice. These reports include metrics such as Charges and Payments posted and outstanding AR broken by age, Denial percentage and other important KPI metrics. Comprehensive reporting helps identify trends, measure performance and keep you informed of the required information to make business decisions.