ASP-RCM offers a complete suite of Revenue Cycle Services, divided into three core segments: Pre-Bill Process, Payment Reconciliation Process, and Post-Bill Process. Our Pre-Bill Process is designed to maximize collections through the expertise of our Claim Review team.
According to a Change Healthcare study, registration and eligibility issues are the leading cause of claim denials, accounting for 23.9%. Other common reasons include:
ASP-RCM’s Approach to Charge Entry Review and Clearinghouse Rejections
We adopt a systematic strategy for reviewing charges and handling clearinghouse rejections:
- We input charges into the client’s EMR or practice management system, following account-specific payer rules and clinic guidelines.
- Our billers hold or pend any claims requiring additional documentation or clarification.
- Our team verifies the presence of any necessary prior authorization numbers for the services performed and includes them on the insurance claim.
- We aim to submit claims on the day of the appointment or within one business day to maintain consistent cash flow for our clients.
- Our billers review our client’s billing system’s daily roster to identify no-shows or appointment discrepancies.
- We report daily to clients on revenue billed, rejections worked on, and claims transmitted to payers.
Contact us to discover how your clinic can leverage ASP-RCM’s billing services for optimum results.
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