End To End RCM

While we monitor the revenue stream.
Orient offers either full as well as partial-scope Revenue Cycle Management services to medical billing companies as well as medical specialties.

SERVICES FOR MANAGING THE REVEUE CYCLE OVERVIEW

Orient RCM to take your healthcare revenue cycle management to a new height. You'll see a decrease in claim denials and will recognize the root sources of revenue leakage, and increase revenue, and cut down the amount of time spent in A/R. We aim to establish an unison process between healthcare professionals, payers and patients in order to bring agility into our revenue cycles.

ELIGIBILITY VERIFICATION

We emphasize the quality of our work and that is why we insist on checking process specifics. The authenticity of crucial factors like the eligibility of insurance, verification of benefits and co-ordination of benefits are considered to be a top priority at Orient. And, to top it all off we make instant amendments to claims that are rejected that give Orient an advantage over the competition in today's market.

MEDICAL BILLING - PATIENT REGISTRATION & CHARGE CAPTURE

Claims that are clean are a reality at Orient. Our billing staff is skilled to process claims for payers at a faster speed. Inaccurately capturing patient demographics and billing information can lead to lower reimbursement. Our team is focused on providing top-quality registration of patients as well as charge capture.

MEDICAL CODING

Our experienced group composed of AAPC certified coders follows CCI editing codes to ensure the correct use of diagnostic and procedure codes to medical records of patients. We follow the rules that are part of Local Coverage Determination (LCD) and match the correct current Procedure Terminology (CPT-4) and the ICD-9 CM codes to avoid codes being denied and demonstrate an actual medical reason to the patient's insurance provider, to make sure that patients don't suffer loss in revenue.

We are committed to constantly improving to stay ahead of the highly competitive RCM service market. We're currently ICD-10-compliant. This will let our clients enjoy better quality processes and improve productivity. As a Six Sigma level company, Orient employs high-end tools of the highest quality and stops unprofessional practice of "upcoding". Additionally professional certified auditors of coding oversee and ensure the quality control of the process of coding, ensuring to ensure that the results are flawless.

Explore More About RCM Services :

CLAIM SUBMISSION AND CLEARING-HOUSE REJECTIONS

We rely on electronic transmission of all claims since the paper-based method is riskier and somewhat obsolete. What distinguishes Orient apart is that we monitor claims until they are received by the payer. We continue to following-up until the payor acknowledges the receipt of the claim. In the event of clearing-house rejections we track it daily and attempt to transmit it immediately.

PAYMENT POSTING

A perfect mix of modern technology, cost-effective solutions and a team of certified billing professionals We are able to get every payment processed in the billing system with precision. Orient is able to take payment posting one step forward by following the procedure and accounting for rejected claims. Our team is proficient in the process of posting Electronic Remittance Advice (ERA).

ACCOUNTS RECEIVABLE MANAGEMENT AND ANALYSIS

Our flawless billing and coding process makes A/R calls not even possible. We believe in being ready for any circumstance and offer support to A/R to ensure that our customers are quickly paid at a less cost.

Our AR team is able to ensure to ensure that all more than 30 accounts will be contacted within 30 business days and are then moved to the next stage. The aging buckets ranging from 0-30 are contacted within 20 to 30 business days, based on the insurance company.

CORRESPONDENCE AND APPEALS

At Orient we have the expertise to handle claims involving medical bills. In the event of an event, we will diligently send any claim back that was not approved by the payer or requires to be rectified and submitted. All submissions are checked by the insurance company in order to prevent denials due to late filing.

Based on the information collected from the call support team Our team will then perform the appropriate action regarding the unpaid claim in order to rectify and resubmit the claim. This could include billing, recoding, as well as sending out appeal letters.

PROVIDER CREDENTIALING AND ENROLLMENT

Our team of credentialing specialists ensure that all the relevant information needed for credentialing comes from the healthcare professional. Every insurance provider has its own specific format to be adhered to and we modify the data to match the requirements of each. After the submission, Orient saves the information in a database to use in the future, and then follows up the enrollment process with insurance providers. Orient is sure to contact the insurance company to ensure for them to be enroll.

If you're in search of an experienced End to End RCM company and you've been to the right location. Contact us now!