Services
Revenue Cycle Management
AR FOLLOW UP
When the insurance company receives the claim and has acknowledged the receipt but there is no response from their side even after 25 to 30 days. A specialized team having expertise in this segment will take a follow-up from the insurance provider in order to efficiently process the claim at the fastest possible pace.
CASH POSTING / CHARGE ENTRY
Providing service into the segment of Charge Entry/Cash Posting, a specialized team of professionals in engaged into the data entry for the registration forms and the doctor recordings along with filling up the CPT Codes relevant to the consultation done by the patient.
PAYMENT POSTING
Being a service provider into the segment of billing, we are also engaged in Payment Posting wherein a team of dedicated and experienced professionals is logging in the details of the payment done by patients, insurance checks received from ERAs, EOBs, Denials, and all other financial picture involved into the claim.
APPOINTMENT AND SCHEDULING
We are a service provider in the segment of Appointment and Scheduling from the part of the Patient to the Service Provider. The whole chain is been managed and controlled systematically by a team delicately to working for this segment.
DENIALS MANAGEMENT
We are dealing with all the types of denials faced into payments from the side of Insurance providers or from the side of Clearing House due to multiple possible reasons. We have a specialized team of Analyst who does the analysis of denials and resolves the errors be it from the side of any party and reprocess the claims in order to clear the outstanding payments to the facility/provider.
PATIENT CALLING
A professional telecalling team is handling all the calls and takes follow- up from the patient wherein any documents are remaining for submission or any information regarding the policy is awaited in order to process the claim and the financial documents.
Virtual Resources - Back Office Support
Credentialing
Future Revenue Management provides physicians with efficient and fast, enrollment and credentialing services, and enables them to focus on their core business of providing quality healthcare to patients. Future Revenue Management experienced credentialing specialists will ensure that all the information required for credentialing is obtained from the practitioner (generally through a primary contact at the practice).
Medical Coding – How it Works
Three organizations maintain the three principal medical code sets – WHO (World Health Organization) for ICD, The AMA (America Medical Association) for CPT, and the CMS (The Centers of Medicare & Medicaid Services) for HCPCS. These codes are utilized by doctor’s offices to turn the doctor’s diagnosis, prescription, and/or whatever procedures were performed into a uniform “language” conveying this information to the insurance company when filing a claim. These lists are updated yearly with new codes and some codes may be deleted. It is the responsibility of the provider to ensure every code added matches the documentation and what the patient is experiencing in terms of symptoms.
There was a time when a provider could have one person in their office who could handle medical coding. Those days are gone. Since the introduction of managed care, coding has gotten incredibly complex with thousands of codes that change constantly. How do you and your staff keep up and maintain a high level of patient care?
GETTING HELP With Medical Coding
At Future Revenue Management, our AAPC Certified Coders are here to help! Having a second set of eyes on your claims before they get submitted can help these claims get through the first time instead of getting denied due to coding errors. What we do:
- Review visit notes once locked to ensure procedure and ICD codes are accurate and reflect what was documented
- Notes are also scanned for any modifiers needed
- Claims are quality checked for completeness and accuracy
- Continued education on coding and compliance
- Get you paid faster when claims are submitted clean the first time
Authorizations/
Referrals
Pre-authorization, prior approval, or pre-certification, all of these terms mean the same thing – obtaining prior approval from an insurance (payer) before a doctor provides services to a patient. This confirmation by the payer that a procedure, treatment plan, medical equipment, or prescription drug is medically necessary provides an authorization number that has to be included on the claim when submitted. A referral, on the other hand, is when a primary care physician (PCP) recommends a patient to a specialist for consultation or healthcare services they are unable to provide. Many insurance companies require this step before agreeing to pay for a visit to a specialist. To file a successful claim, you have to make sure you have this referral on file for your patients.