Remittance Processing Services

While many managers look at coding and clinical documentation as the critical anchors for valid medical billing and regards payment posting to be just the process of posting payments, a good payment processing team can provide vital insights into the overall effectiveness of your revenue cycle processes.

Hybrid IMS remittance processing experts not just process payments but layout for you trends and apprehensions on reasons for denials, prior-authorization, non-covered services, quality of your clinical documentation and coding processes, and productiveness of your front-desk patient collections.

We exercises the following types of remittance transactions with an extraordinary degree of accuracy:

• Electronic Remittance Advisory (ERA) Posting. Electronic remittances typically contain a large amount of payment transactions. The processing of ERA involves uploading the documents to the revenue cycle, processing individual cases from the batch runs by making the required corrections using the processes available on the revenue cycle system.
• Manual Payment Posting. Payment information from scanned Explanation of Benefit (EOB) documents is obtained, and each item is posted to the concerned patient account. By developing practice and physician-specific business rules together with our team, your practice will be able to guaranteed accurate payments, adjustments, write-offs, and balance transfers.
• Denial Posting. Our staff is conversant with ANSI denial codes as well as the remark codes used by different payers. We post denials into the customer’s practice management system and take actions such as billing the secondary payer, transferring the balance to the patient account, making adjustments/ write-offs as per defined policies, and routing the denied claims to appropriate work queues.
• Posting Patient Payment.Patient payments should be accounted in order to properly close the claim and avoid any inflated AR. We have extensive experience in processing payment received from patients via different channels like POS cash collections, checks, and credit cards (patient portals). Our payment processing professionals account for patient payments, make decisions on transferring any pending balances to secondary insurers, and resolve any credit balances.

Hybrid IMS Value Proposition For Payment Posting Services

Not only, we provide production and quality report on our achievements but also offer our suggestions on trends in denials, non-covered services, prior authorization, and deductible or co-payment collection related matters at the point of service.

• Develop Policies for write-off and adjustments. We help our customers to develop clearly defined rules for write-offs and adjustments. Based on these rules, we report any unusual contractual changes during processing payment transactions.
• Handling Denials. We route denied claims to our coding and denial management experts for readjustment and re-submission to payers in a timely manner.
• Filing Claims with Secondary Payers. We identify claims with secondary payers and process claims for any remaining amount.
• Knowledge Management.Organized business and process rules stored in our knowledge management tool. Which helps us keep track of all the updates by providing an active service.
• Dashboards provides instant access to process health indicators and enable continuous improvement.