BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Charge entry and Claim Audit
Precision Revenue Cycle Management: Advanced Charge Entry and Claim Auditing by ASP-RCM Solutions
By bridging the gap between accurate charge entries and audits, we elevate your billing processes to new heights, ensuring a healthier bottom line for your practice
Schedule a Call≥90%
Error Detection Rate
≥85%
Claim Correction Rate
100%
Compliance Adherence
Overview
The Vital Role of Charge Entry and Claim Submission
Laying the Groundwork for Efficient Medical Billing
ASP-RCM’s Streamlined Approach to Charge Entry
Our team inputs charges into your EMR or practice management system with a focus on accuracy and compliance. By following payer rules and clinic-specific guidelines, we ensure error-free charge entry, paving the way for successful claim submissions
Effective Management of Clearinghouse Rejections
We adopt a proactive strategy to handle clearinghouse rejections. Claims requiring additional documentation are held or pended for clarification, while our team ensures prior authorization numbers are verified and accurately included
Accelerated Claim Submission for Consistent Cash Flow
We submit claims within one business day to minimize delays and keep your cash flow steady
Daily Roster Reviews for Accuracy and Efficiency
Our team reviews daily appointment rosters to identify no-shows and discrepancies, ensuring that all billable services are accurately captured and submitted
Comprehensive Reporting for Full Transparency
We deliver detailed daily reports covering revenue billed, rejections resolved, and claims transmitted, giving you complete visibility into your billing performance and results
Operations
ASP-RCM Solutions: Technical Precision for Charge Entry and Claim Auditing
From verifying patient information to auditing claims for compliance with payer-specific rules
In-Person Collection Oversight
Our in-person collection oversight services ensure that front-desk staff effectively manage patient payments at the time of service. From copays to outstanding balances, we provide training, tools, and real-time support to streamline the collection process
Decoding Payments and Claims for Financial Clarity
We simplify the often-confusing reconciliation process of EOBs and ERAs by ensuring that payments and adjustments align with what was billed. Our team reviews payer remittances thoroughly to identify underpayments, overpayments, and discrepancies, taking corrective actions where necessary
Reporting Specific Denials
Denials don’t have to mean lost revenue. We specialize in analyzing denial trends and generating detailed reports on specific denial types. These insights allow your team to identify root causes, such as coding errors or authorization lapses, and implement strategies to prevent future occurrences
Denial Management
Our denial management services focus on recovering revenue from denied claims by addressing their causes head-on. From resubmitting claims with corrected information to engaging in payer negotiations, we make sure no claim is left unresolved
Patient Liability
With rising out-of-pocket costs, managing patient liability has never been more important. We assist in calculating patient balances and implementing clear communication strategies to explain their financial responsibilities
Write-Offs & Adjustments
Write-offs and adjustments are an inevitable part of revenue cycle management, but they need to be handled carefully to maintain financial accuracy. We review each case meticulously to ensure adjustments are valid and compliant with payer contracts
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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