• Establishing patient payment arrangements and billing accounts for the job
• Obtaining references and pre-authorizations as the procedures allow
• Confirming eligibility and compensation for medications, hospitalizations, and procedures
• Checking plans for patient follow up policies
• Updating cash spreadsheets and running collection reports
• Checking medical bills for consistency and completeness while providing any details that are lacking
• Preparation, analysis, and forwarding of claims using billing tools, including the processing of electronic and paper claims
• Following up on outstanding claims within the normal period of the billing process
• Checking for consistency and compliance with contract discount on all insurance payments
• If required, calling insurance firms in case of any difference in payments
• Inquiry and appeal into all claims denials
• Answering all patient or telephone insurance questions relating to specific accounts

Periodic auditing of your revenue cycle management process provides a valuable practice assessment and may identify areas needing improvement. HCBS PRO offers e-VALUation reports which combine your practices actual revenue cycle data and local and national benchmarking to provide you with an unbiased comparative analysis of your practice’s productivity, utilization and reimbursement data.

Yes, each client is assigned a dedicated Client Service Manager who is the direct liaison between your group and APS.

Getting authorizations from payers is the biggest challenge we’ve encountered so far. This can be attributed to the rising cost of healthcare.
As healthcare costs continue to increase, many healthcare insurance providers are finding it harder to keep up with the claim payments, thus the strict emphasis on the need to justify extended inpatient stay or other costly treatment modalities.
Other factors that may have led to difficulty in getting payer authorization include facilities billing for services that were not provided, overbilling services, or improper coding of services.

Revenue cycle management (RCM) is the process that manages claims processing, payment and revenue generation. Technology is often used to track the claims life cycle, and it's a way the medical practice or RCM company (like drchrono RCM) can keep track of the process including finding any issues. RCM is the entirety of the medical billing process for a practice.

The main purpose of the process includes keeping track of claims, making sure payments are collected, and addressing denied claims. Time management and efficiency play large elements in RCM, and a medical practice's choice of an EHR / EMR can be a major factor into how RCM is implemented or used.

This includes claims, billings, and receivables from the time the patient leaves your office to when your practice receives payment and the outstanding balance for services equals $0. Every claim has its own life cycle and the practice can either handle their own billing or outsource it to a RCM service like drchrono RCM.

Ultimately, the holistic purpose of RCM is to constantly refine the medical practice's RCM process to improve and achieve the most successful clean claim rate.

Key factors for RCM success include:

• Use of automated software can reduce errors and streamline the process
• Providing web-based services to meet patient demands and improve billing and payment processes
• Insurance verification services to inform providers and patients as to what procedures and services insurance plans cover. Real-time insurance eligibility verification will save time, reduce risks on denial, and improving patient-provider communication.
• Staying up-to-date with ever-changing healthcare regulations
• A successful RCM process will enable you to better manage transactions with payers and patients, earn profits, maintain financial viability, and provide quality patient care.

To provide you with a precise answer, we have to evaluate the project complexity and the work scope. Knowing this information we can provide you with the estimated time frame.

You do not have to be an expert in software development because, actually we are. We will be there to explain you throughout all stages of software development.

We work in short iteration mode and regularly test the work results, taking into account all customer preferences.

We don't prescribe a one-size-fits-all process because our customers are different and their needs from us are different. However, there are some basics you'll see across most of our projects:

• Probabilistic forecasting
• 1-2 week iterations
• Iteration planning, review, and retrospective
• Product increment (PI) planning and discovery
• Periodic status reporting and product demonstration and delivery

Digging a little deeper, you'll find these kinds of practices happening on the team:

• Test-driven development
• Pair and mob development
• User research and testing
• Dual-track Agile (generally preceding development work)
• Continuous integration (and Continuous Delivery, where possible)
• Secure coding practices

Of course! Assuming there's a business outcome tied to modernizing your legacy app.

Simply moving an old system into a new technology is often fraught with peril. This is known as the second-system syndrome: “Make it do the same things as the old one.” Quite often in these situations there are changes that needed to happen in addition to updating the underlying technology. These types of efforts often seem straightforward, but they rarely are.

If the project is outside of your core business offering, it usually makes financial sense to outsource to a consultant or consulting firm. Using consultants can reduce the development, implementation and execution time and lower costs.

Also, any project or initiative, even if it is your core business offering, that requires specialized knowledge and experience, you should consider using consultants.

HCBS PRO specializes in a wide-range of consulting services. These include:

• B2B consulting services
• Training design and development
• Staff training programs and implementation
• Career consulting and development solutions
• Digital consulting and services

Depending on your goals, we leverage many components across all of our consulting services to customize the perfect solution for your business or career.

Privacy is key for us. All your data are strictly confidential and are only shared with potential clients after you marked your interest for a project.

Typically our clients are experiencing one or more of the following scenarios:

• Struggling with challenges or obstacles within their business that is holding their company back from achieving growth and higher profitability
• Challenged by scaling their business or developing and implementing a growth plan that actually delivers intended results
• The company has outgrown their existing business processes, causing problems with daily operations (errors, increased costs, unreliable results, slower than expected output)

Yes, some of our clients are start-ups. If you're an entrepreneur developing or refining your business model, identifying target markets, defining your brand, mapping your business operations, strategizing your company launch, or seeking expertise in launching your company, then our firm can bring significant impact and expertise to your start-up.

A dedicated VA is someone who has all your preferred skill-set and will be for working just for you on your preferred date and time following your work requirements and responsibilities. All of their work tools, apps and computer programs while their working on your set schedule are just mainly for your task requirement to make sure they are 100% productive.

Our VA’s are fluent in the English language and not just in verbal but in written English as well. You are assured that aside from their great communication skills, they have great comprehension skills as well. No need to waste your time repeating instructions repeatedly. With us, that will never happen

Your hired VA will follow American timezone or whatever their client's timezone is. Your VA will follow whatever you preferred working schedule is, as they always adjust and cope with their client's needs and requirements.

In case of unavailability we will inform you about it in advance to guarantee a smooth transition. When a VA is sick or on vacations, we will cover his/ her absence with our internal resources. If an assistant quits, we will assign you another previously agreed on assistant.

In case of unavailability we will inform you about it in advance to guarantee a smooth transition. When a VA is sick or on vacations, we will cover her absence with our internal resources. If an assistant quits, we will assign you another previously agreed on assistant.