Revenue Cycle Management
Payment Posting
Prudence RCM Solutions Payment Posting team members are efficient in posting payments to the respective patient accounts with a high level of accuracy. Team is well experienced in all type of payment posting, and has expertise in below posting component:
- Patient Payments: We post all patient payments including co-pays, deductible, uninsured patients. These point of service (POS) payments received via Credit Cards, Cash or Checks are duly checked and captured.
- Unapplied Payment: We also post unapplied payments to the accounts with balances
- Insurance Payment Posting – Manual: While many payers provide the EOBs in electronic formats, in some cases payments are received with manual EOBs. The NetworthRCM team processes these payments with a high accuracy as per the EOBs for adjustments, write-offs, and balance transfers.
- Insurance Payment Posting – Electronic (ERA): Electronic Remittance Advice (ERAs) carry information about a large volume of payments. The ERA files (835) are run in batches by our experienced team members and loaded into the RCM softwares. Any throw-outs are corrected diligently, and the batches are balanced.
- Zero Pays and Denial Posting: Posting of claim denials is important to ensure that the rebilling to secondary insurance companies or transfer of the liability to the patient is Posting of Claim denial information or decisions can be taken on write-offs. Our team is experienced in posting zero pays and denials by using appropriate denial codes in system.
- Patient Demos, Eligibility, Pre-Auth Verification: We help practices to enter Patient Demos, create patient charts, verify patient eligibility with payers before the appointment date, obtaining prior authorizations to help healthcare professionals to submit clean claims. Our team has a vast experience in performing these key functions to keep a high cashflow to the practice.
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