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To enhance your practice’s income, we concentrate on boosting efficiency, maximizing revenue, and minimizing unnecessary expenses. Here are some strategies for achieving a smooth income flow:
Based on our analysis, we develop a customized optimization strategy designed to meet the specific needs of your practice. This strategy aims to enhance every stage of your revenue cycle, from reducing claim denials to improving patient collections, with the ultimate goal of increasing efficiency and boosting your revenue.
We optimize your claim submission process to reduce rejections and delays.
We start by conducting an in-depth analysis of your entire revenue cycle to identify inefficiencies and areas for improvement. This includes evaluating processes such as patient intake, coding accuracy, claim submission, and collections. Our thorough review provides a clear understanding of your current revenue flow and highlights critical areas that need enhancement.
Accurate coding and detailed documentation are vital for maximizing reimbursement. Our program includes a comprehensive review of your coding practices and documentation procedures to ensure compliance with current standards and payer requirements. We implement best practices to minimize errors and improve reimbursement accuracy.
Denial management is a key focus of our program. We analyze denied claims to identify recurring issues and develop effective appeal strategies. Our proactive approach helps recover denied payments and addresses underlying causes to reduce future denials.
Enhancing patient collections is crucial for maximizing revenue. Our program includes strategies to streamline patient billing processes and improve collection efforts. We also offer patient financial counseling to help patients understand their financial obligations, leading to better collection rates.
Caddison’s billing department adheres to standard operating procedures (SOPs) to identify and correct errors before a claim is submitted. Our skilled team meticulously verifies demographic entry, pre-authorization, eligibility, benefits, and coding edits to ensure accuracy.
Denial management is a key focus of our program. We analyze denied claims to identifyaOur team accurately selects the appropriate billing form (CMS-1500/UB 04) based on the services provided. Claims are primarily submitted electronically following EDI protocols, although some are submitted on paper due to certain payers not accepting electronic claims. recurring issues and develop effective appeal strategies. Our proactive approach helps recover denied payments and addresses underlying causes to reduce future denials.
Payments are promptly posted to the respective patient’s account. Denied and underpaid claims are assigned to our specialized denial management team, who resolve the issues and resubmit the claims to the appropriate payer. The Accounts Receivable department advocates with insurance companies for additional payments on low-paid claims by submitting reconsiderations and appeals.
After successful claim submission, our billing staff consistently undertakes the following tasks:
Conducting audits is essential for optimizing revenue flow. VitGenix’s dedicated audit team identifies process weaknesses in various aspects of the revenue cycle. This analysis reveals which parts of the cycle need improvement. Analysts monitor each stage of the cycle and provide detailed reports on the organization’s progress.
Claims Processed
Healthcare Providers Served
Successful Audits
Industry Recognitions
Whether you're a doctor needing billing support or a healthcare provider seeking compliance assistance—booking with us is fast and easy.
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