RevMax recognizes the significance of providing access to a diverse range of payers. That's why we collaborate with our clients to assist them with the payers they require. With RevMax, you benefit from the ease of electronically submitting claims, remittances, and eligibility verifications to all payers. Our team ensures your enrollment with all payers, facilitating eligibility checks, electronic/paper claim submissions, and the receipt of electronic ERA's/EOB's for precise data.
In the realm of medical billing, payment posting stands out as a crucial process that commands the highest level of focus from our operations management. Payments received from both payers and patients in response to claims are accurately recorded in the client's medical billing system to facilitate claim reconciliation. Axtrics goes a step further by conducting electronic payment posting directly into the medical billing software. Additionally, any exceptions or fallouts are manually addressed to ensure meticulous handling and prevent any oversight of payments.
Over 75% of claim rejections and denials by payers result from ineligible patient insurance coverage. Additionally, the time-consuming task of logging into multiple payer websites for eligibility information is addressed by our team, which conducts eligibility checks to preemptively avoid these denials before billing out the claim.
Certain services necessitate authorization before being billed to the payer. Therefore, our dedicated team proactively gathers all required information and authorizations from the payer before filing the claim, ensuring the prevention of any claim denials.
RevMax stands as a premier offshore medical billing services provider, offering back-office support to healthcare organizations. Our proficiency extends to demographic and charge entry services across a spectrum of specialties, encompassing both general practice and more complex areas.
Within our charge entry service, we meticulously input CPT codes, ICD codes, modifiers, and other pertinent information into the billing software.
The AR management model integrates effective strategies to optimize cash flow. Our collaborative efforts involve an analysis team, calling team, and resolution team working together to reduce the number of AR days. Within our AR management cycle, we follow up with insurance carriers through various channels, such as accessing their websites, IVR, or contacting representatives directly, to check the status of claims that have not received a response within 30 days from billing. We identify and address issues that may be hindering payments. Our overarching goal is to consistently maintain the outstanding AR above 90 days at less than 15% of the total.
Transforming your data into actionable insights.
RevMax Analytic Solutions, in collaboration with Prevalent Health Inc, delivers an array of "real-time" edits and vertical business intelligence for your clinical and medical billing data. Covering the entire analytics spectrum—from data discovery, quality assessment, interpretation to presentation—RevMax ensures comprehensive analysis to unveil meaningful anomalies and trends in your data. Reach out to a RevMax Healthcare Analytics Expert for further information.