The healthcare revenue cycle management (RCM) industry generates over five billion transactions annually. A large percentage of these transactions are done manually on paper. While there is a gradual transition to electronic, paper processing is not going to disappear anytime soon. According to the 2014 CAQH Index™, U.S. healthcare could save $8 billion annually by transitioning six routine business transactions from manual to electronic: claim submission, eligibility and benefit verification, prior authorization, claim status inquiries, claim payment, and remittance advice transactions.
With patient volumes on the rise, the greater volumes of transactions in the face of limited resources mean backlogs, data entry errors, and increased days in A/R. Your staff is overworked, and the paper is piling up. Now is the time to get expert help.
GeBBS offers comprehensive extended business office (data entry) solutions that take the worry out of the process by improving your efficiency and collections while reducing costs. With improved first-pass rate, a 97% accuracy level, and guaranteed turnaround times, you can focus on growing your business and keeping your patients healthy. This is accomplished with a combination of advanced technology resources along with qualified and knowledgeable onshore or offshore medical billing professionals.
Charge Capture and Payment Posting
Patient collections are on the rise with many newly insured participants in Affordable Care coverage. High-deductible plans are putting added pressure on revenue cycle operations and the drive to collect patient payments. Having access to a large pool of qualified resources to process payments timely, correctly and provide full-service bank-to-book reconciliation, which are critical to your operations.
GeBBS has experience in working with all the leading practice management systems, including but not limited to Cerner, Epic, McKesson, NextGen, Allscripts, MEDITECH GE/IDX, Siemens, Athena Health, and Medical Manager.
Our expert data capture services are driven by iP2P (Intelligent Paper to Payment), our proprietary workflow application engine. This solution automates the receipt, processing and posting of all RCM paper documents including charges, demographics, insurance payments, patient payments and correspondence.
The iP2P Client Portal provides full visibility into real-time production status, exception management and auditing, along with an image repository for easy retrieval and viewing of the scanned documents.
Claims Management
- Daily Claims submissions through clearinghouse to payors
- Print and mail paper claims (electronic submissions not available)
- Clear payor rejections and resubmit billing
- DOS to DOR to DofBill 72 hours