Preciso Healthcare Solutions Helps Save Time And Money

Preciso Healthcare Solutions knows by experience that healthcare professionals often stress over things that they ought not.

Hence, by letting Preciso Healthcare Solutions look after of patient matters like patient statements, and claims, you can entirely focus on delivering quality care.
“Healthcare providers can rely on Preciso Healthcare Solutions”

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Medical Billing Services and COVID 19 Healthcare

Preciso Healthcare Solutions offers comprehensive medical billing services to providers with different specialties. We have firmly adhering to service excellence, integrity, and professionalism while carefully agreeing with the applicable healthcare regulations.

As part of of the continuous telehealth administrations happening across the country, Preciso Healthcare Solution works for clinicians to get them paid as soon as they render services. Telehealth in Medicare is where we address your financial independence for increased collections and the survival of your practice.

A recognized billing services that does everything to improve provider experience, practice management, and staff trouble speeds up the healing process reliably.

COVID-19 pandemic is a period of extraordinary scarcity wherein we’d prefer to unburden doctors and specialty clinicians from their revenue cycle management duties. Along these lines, in addition to the fact that they serve the population with ultimate care specifics, but take America out of this debacle in one piece.

Is telemedicine an approach to turn away the emergency?

Absolutely!

Together we can beat any obstacle tossed at us; if this pandemic is still a long way from being done, speedy, and meaningful reimbursements can raise telemedicine’s status to a lifesaver. Most clinicians go to Zoom as the go-to telehealth application to meet and treat.

Call or email us to take advantage of CMS’ telehealth 2020 rules.

Eligibility and Benefit Verification

Prior to service being rendered by the provider, we verify the patient’s current insurance eligibility deductible balances in the patient’s account, update the patient’s account with current insurance eligibility status, and regarding patients with expired insurance coverage to overcome any potential delays.

Patient assistance Enrollment

The key feature is we can try to enroll both underinsured and uninsured patients to foundation and PAP support programs, with patients financial in that way we help identify financial assistance options.
It will be more suitable and convenient for patients as they require to pay minimal Cost share, and can focus more on treatment.

Authorization

We initiate and aggressively follow-up on pre-authorizations with payers wherever required to ensure that providers can deliver their services to patients without fear of non-payment.

Coding – Charge Posting

Cash flows act as the lifeblood of any organization including healthcare service providers. We follow a rigorous process of scrubbing claims during the charge posting process oriented towards maximizing first-time payments from insurers and minimizing denials.

Payment Posting

Insurance payments are posted to patient accounts from the EOB. All payments received will be posted within 24 hrs.
For payers who do not have Electronic Remittance (ERA), our team manually posts the insurance payments into the patient’s account matching the respective allowed amount for each charge.
To ensure that all payments received are posted, we compare bank deposits with the total payment posted in the PMS.
If the patient has co-insurance, the remaining unpaid charges will be filed to the secondary insurance as per the coordination of benefits.
Any deductibles, copays, Out-of-Pocket, and other patient responsibility stated by the insurance will be billed to the patient when the statements are generated. Before generating statements, we ensure that the patient account balance is correct and they are not billed for balances for which they are not liable. Patients’ statements are generated on a monthly basis.

Claims Rejection

All claims will be generated and filed either electronically or via paper as per payer standards. The acknowledgement of receipt of the claims by the insurer is checked to prevent any loss of claims.
Any potential errors resulting from the transmission either at the gateway or at the insurance clearinghouse will be resolved and resent within 24 hours barring clinical discrepancies.

Denial and AR Management

All denied claims are analyzed, corrected, and re-submitted within two working days upon receipt of the EOBs.
Our Accounts Receivable team compares expected and actual collections, understands the cause for discrepancies, and takes corrective measures to recover the difference.
Preciso Healthcare has systematic and regulated processes during each phase of the revenue cycle allowing our AR team to keep Days in AR to below 25.
An initial analysis of old outstanding receivables will be performed whenever a new provider joins Preciso Healthcare, and corrective action will be taken to recover as much revenue as possible from claims filed prior to the client joining Preciso Healthcare.
Unpaid claims are processed using a prioritization-based method, with high value claims and claims approaching the insurance timely filing limits given top priority.
Any underpayment in the contracted amount or reimbursement rate of the insurance company will also be flagged and corrective action undertaken.

Patient Calls

If patient statements are unpaid in a month, in the wake of sending collection letters, our team initiates reminding them about their remaining balances with the particular practice or provider. Preciso Healthcare investigates every possibility to collect the conceivable repayments for our clients and go the extra mile to make that happen.

Revenue Recovery

Auditing / Compliance

  • Assess medical records for completeness and accuracy
  • Assess documentation accuracy
  • Assess compliance with respect to coding and billing
  • Enhance revenue
  • Discover lost revenue
  • Look for coding irregularities

Medical Billing Analysis

  • Review of entire billing process, including software
  • Coding practices and billing methodology
  • Unbilled charges and services
  • AR characteristics and type of denials
  • Revenue flow and A/R recovery
  • Dead AR recovery
  • Ageing review

Coding Analysis

  • ICD-10, CPT-4 and HCPCS coding
  • Modifiers usage
  • Under-coding E/M visits or vice versa
  • CCI and NCCI Edits
  • Accurate, ethical and compliant coding

Collection Analysis

  • Contracted amount vs. payment collected
  • Drugs P&L Analysis
  • Underpaid and undervalued charges
  • Contract negotiation
  • Out of Network payment analysis and negotiation
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