Revenue Cycle Management

Everything that you require for your Revenue Cycle Management in Medical Billing is here

Seamless Convenience, Technological Integration and more Revenue Generation for your Practice

At GreenSense Billing, we take care of all your Medical Revenue Cycle Management Services to make your practice more productive than ever before.

If your revenue generation is in distress or you simply want to meet with the ever-increasing complex reimbursement and regulatory challenges, then GreenSense Billing will sharpen your focus with operational excellence, utilizing smarter medical billing processes with integrated technology, which provide end-to-end Revenue Cycle Management Medical Billing Services at your fingertips.

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Every healthcare provider needs to understand the importance of the financial aspects related to medical billing

This requires a combined approach from physicians, administrators and front office staff.

RCM

An Improved Primary and Core Processes

Today’s modern practices cannot lead improved revenue cycle management processes and medical billing together if they do not include the primary and core processes such as:
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Patient Scheduling

Collecting patient demographical information, reviewing and verifying insurance coverage, obtaining prior authorizations, conducting eligibility verifications and approvals.
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Collections and Documentation

Collecting documentation, co-payments, deductibles and assigning diagnostics and CPT/HCPCS codes
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Follow-Ups

Collecting additional fees, setting up follow-up appointment visits, entering changes into the EHR or entering charges into the practice management software
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Claim Submission Process

Submitting and resolving claims through practice management software by scrubbing or transmitting claims to payers through a clearinghouse and creating patient statements
payment

Posting Payments

Receiving EFT (Electronic Funds Transfer) requests, posting payments manually, and reviewing EOBs (Explanations of Benefits) for accuracy
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A/R Management

Reviewing insurance or third-party accounts, along with patient accounts. Payment posting, reviewing and recording adjustments and write-offs, refunds, payment follow-ups, as well as denials and slow pays.
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Financial Reports and Analytics

Reviewing financial progress and analytics related to your practice. Reviewing account receivables and monthly financial reports and performance.

Revenue Cycle Management (RCM) Medical Billing is the Heart and Soul of any Medical Practice

Our Integrated Revenue Cycle Management Processes are combined with front office tasks, clinical notes, patient engagement solutions and medical billing solutions. GreenSense Billing offers convenience and control over the financial aspects of your practice so you can work smarter, save time, focus on your patients while generating more revenue.

Importance of GreenSense Billing Revenue Cycle Management (RCM) Medical Billing to Healthcare Providers

GreenSense Billing provides Revenue Cycle Management (RCM) Medical Billing Services to healthcare providers and practice owners. The revenue cycle management process in medical billing is a financial process that uses intelligent medical billing software for patient monitoring in all aspects of financial billing.Revenue Cycle Management process in medical billing begin as soon as you register a patient and end when the final bill is paid.

Medical revenue cycle management services involve complex processes

It follows in a process order as mentioned below:

  • Patient Registration

    01
    Ensuring patient eligibility and valid insurance coverage before appointment scheduling or during patient registration

  • Collection of Co-Payments and reviewing financial balance

    02
    Collecting co-payments from the patient at the time of service including amount not covered by insurance

  • Medical Record Documentation

    03
    Reviewing or updating patient’s medical records and any kind of documentation for verification eligibility

  • Claims Submissions

    04
    Creating claims related to treatment for medical billing, validating and submitting the claims electronically, either to the insurance payer or to a clearinghouse

  • Reviewing, Validating and Correcting Submitted Claims

    05
    Reviewing all claims and determining whether they need to be corrected or resubmitted. This also includes reviewing all the necessary documentation

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  • Follow-Ups

    06
    Following up with the insurance payer on submitted claims, verifying if the claim was accepted or rejected. Crosschecking and updating status with clearinghouse

  • Data Analytics

    11
    Review and covert financial data analytics into meaningful data and insights. This shows the practice’s performance in terms of revenue generation and how to improve financial operations in terms of collections, A/R management and claims processing and resolution.

  • Payment Appeals

    10
    If a payment is not collected during a patients visit then reminders are sent to the patient for payment

  • Collecting Payments

    09
    Collecting payments from the patients either by mobile or online payments

  • Creating Patient Statements Or Payment Posting

    08
    Sending an electronic bill to the patient which includes his/her demographic details, owed amount, date of the procedure and transaction descriptions

  • Rejection Processing

    07
    Further processes are done to resubmit the claims by rectifying the errors and resolving them

  • Patient Registration

    01
    Ensuring patient eligibility and valid insurance coverage before appointment scheduling or during patient registration

  • Collection of Co-Payments and reviewing financial balance

    02
    Collecting co-payments from the patient at the time of service including amount not covered by insurance.

  • Medical Record Documentation

    03
    Reviewing or updating patient’s medical records and any kind of documentation for verification eligibility.

  • Claims Submissions

    04
    Creating claims related to treatment for medical billing, validating and submitting the claims electronically, either to the insurance payer or to a clearinghouse.

  • Reviewing, Validating and Correcting Submitted Claims

    05
    Reviewing all claims and determining whether they need to be corrected or resubmitted. This also includes reviewing all the necessary documentation.

  • Follow-Ups

    06
    Following up with the insurance payer on submitted claims, verifying if the claim was accepted or rejected. Crosschecking and updating status with clearinghouse.

  • Rejection Processing

    07
    Further processes are done to resubmit the claims by rectifying the errors and resolving them.

  • Creating Patient Statements Or Payment Posting

    08
    Sending an electronic bill to the patient which includes his/her demographic details, owed amount, date of the procedure and transaction descriptions.

  • Collecting Payments

    09
    Collecting payments from the patients either by mobile or online payments.

  • Payment Appeals

    10
    If a payment is not collected during a patients visit then reminders are sent to the patient for payment.

  • Data Analytics

    11
    Review and covert financial data analytics into meaningful data and insights. This shows the practice’s performance in terms of revenue generation and how to improve financial operations in terms of collections, A/R management and claims processing and resolution.

Start generating more revenue from your collections and minimize your overhead costs.
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