RCM SERVICES
Our Leading Advance Technology
- Automation: Automation streamlines repetitive tasks By automating processes, healthcare organizations can improve efficiency and accuracy in managing financial transactions.
- like coding and billing, reducing errors and accelerating revenue cycles. Electronic Health Records (EHR): EHR systems enhance data accuracy and flow within the revenue cycle. They allow seamless sharing of patient information across different departments, leading to better coordination and faster billing processes.
- Analytics and AI-driven Tools: These tools provide valuable insights for process optimization. By analyzing large datasets, healthcare providers can identify trends, predict revenue patterns, and make informed decisions. Artificial Intelligence (AI) can also help in claims processing, fraud detection, and revenue leakage prevention.
- Patient-centric Strategies: Technology enables personalized patient experiences, from appointment scheduling to billing. Patient portals and mobile apps allow patients to view their bills, pay online, and communicate with providers, improving overall satisfaction and engagement4.
- Data-driven Insights: Advanced analytics help healthcare organizations understand revenue trends, patient behavior, and operational inefficiencies. By leveraging data, RCM teams can proactively address issues and optimize revenue collection.
Patient Data Management Services
Mostly getting the basics right can make a huge difference to the profitability of your medical practice! In revenue cycle management, those basics start with efficient patient data management services.
We enter or validate patient demography data, coverage and patient responsibility data. We have the skills to import such patient data from hospitals and other systems into third party systems, proprietary systems, or our native systems for active intervention.
We build or deploy existing tools, edits and audits that will ensure a 100% accuracy target for claims prior to filing, as shown by our industry-leading first pass ratio of 91%.
Capturing accurate patient demography, coverage and benefits and payer information are the initial essential steps in effective billing. Validated benefits, coverage and comprehensive payer data, slash 28-33% of the cost of billing, which is an advantage to our clients.
Ensuring that all patient information is received via the paper-based registration process, or the patient scheduling system is updated on the medical practice’s EMR is tedious and time-consuming. Hiring additional staff is often not an option due to space constraints at the practice office. Therefore, choosing to outsource the administrative task of patient demographics updates can be financially beneficial to medical practices.
With accurate patient data management services by Smart Vision, you enjoy higher claim approval rates.
Coding, Audits, and Compliance
Medical coding is the first step in the medical billing process.The heartbeat of the RCM business is also the sweet spot of our strengths. Ably led by veterans of the coding world, we have cutting-edge machine learning platforms helping our coders turn up error-free and compliant Medical coding services.
We code a multitude of specialties and are well-versed in most leading EMRs. We have built interfaces with hospitals and other systems that help check on the latest patient data updates and, addendums, and cross-check other reports to help code to the highest level of specificity and accuracy, quickly and effectively in a compliant manner.
Our coders consistently clock high outputs, helped by these features in our Medical coding services:
1. Machine Learning platform
2. Support audits
3. Robust continuous training programs.
The accurate and compliant coding of medical services is vital to the success of healthcare organizations, enabling proper reimbursement, minimizing claim denials, and optimizing revenue generation. At Smart Vision, we excel in providing exceptional medical coding services, supported by cutting-edge technology and a team of expert coders.
Continuous training is a cornerstone of our medical coding services. Our coders undergo comprehensive and ongoing training programs to stay up to date with the latest coding guidelines, regulations, and industry trends. This commitment to continuous learning ensures that our coders possess the knowledge and skills to code accurately across various medical specialties. By staying abreast of coding changes and updates, our coders provide exceptional services that are compliant with the current coding standards, guaranteeing accurate and reliable coding outcomes.
When you choose Smart vision for your medical coding services, you can expect industry-leading solutions and excellent value for your investment. Our team of experienced coders, supported by advanced technology and continuous training, consistently delivers accurate and compliant coding services. The impact of our precise coding becomes evident through significant reductions in claim denials and improvements in revenue collections. By optimizing coding accuracy, we enhance your revenue cycle management and foster financial stability for your healthcare organization.
Smart vision is your trusted partner for comprehensive medical coding services. Our cutting-edge technology, expert coders, and commitment to continuous training ensure the highest quality coding outcomes. By leveraging our services, you can unlock the full potential of accurate coding, achieving optimal reimbursement and financial success in your healthcare practice. Trust Smart vision for industry-leading medical coding services that drive excellence and maximize your revenue potential.
AR Follow up
Our Accounts Receivables services are on a partial scope or as part of the full cycle process. Analyzing the account for unpaid, low-, paid, slow-paid, and following up with insurances for payments are also our responsibilities. We also liaise with attorneys, DME providers, and other such ancillary service providers to resolve payments.
Unlike most service providers, we are incentivized by collections. We are not just interested in “working” the AR, we endeavor to move the claim to payments with our every touch. Most of your past experiences may have involved a poor ROI on follow-up dollars spent. Smart Vision’s Accounts Receivables services will definitely be a positive change.
This is why when others still measure aging and age (important nevertheless), we are chasing touches to pay, dollars per touch, and wasteful touches that are real indicators of the efficiency of the AR work.
Most of the revenue is actually stuck in this stage. With the never-ending follow-ups and the long hold of IVR calls providers often do not realize the revenue leakages happening here. The best of resources are needed to get the maximum collections. Smart Vision’s AR workflow automation platform Reimbursement – is a supporting assist technology that helps follow-up staff gather the right information during calls and appropriate proven actions to maximize work.
Our Accounts Receivables services include incisive allocation algorithms, prioritization, deep analysis of your AR, payer behavior, and domain expertise allow effective intervention at the optimal time for maximum benefits.
Our process extracts “outcome intelligence” from the claims worked to feed best-in-breed practices for every type of denial and payer. This is valuable in bundling and preventing truant claims and reducing future similar instances.
Our Accounts Receivables services includes:
- Identify claims in AR that require follow-up with payer
- Follow-up with insurance on claim status
- Old AR recovery services
- Reports and Insights on paid, unpaid and partial paid claims
- Compile claim information to create follow-up guidelines and procedures
Our deep analysis and insights, coupled with timely follow-up with payers and specialized old AR recovery services, contribute to improved financial outcomes for your practice. We provide customized reporting and insights, empowering you with the information needed to make informed decisions and optimize your collections strategy.
Partnering with Smart vision guarantees not only proven results and increased revenue but also peace of mind knowing that your accounts receivables are in the hands of a dedicated and experienced team. We are committed to delivering exceptional service, transparent communication, and measurable value for your practice.
Denials
Denial management services are very different from rejections. A lot of RCM service providers are equipped to handle rejections well, but struggle with denials. Denials happen when a claim is initially processed, but the payer later refuses to accept and pay for the same.
Denial Management Services is one of the most critical parts of RCM, as it directly affects the cash flow. Unfortunately, there is a lot of time wasted back and forth trying to handle denials, put forth appeals and understand the reasoning behind the denials. This is time that can be used effectively elsewhere.
Healthcare organizations that handle multiple payers also lose millions in denials and delayed payments due to denials.
Our denial management services handle denial requests and help you analyze the reasoning behind the same and improve the process to bring down the overall denial rate. By understanding the root cause of denials and analyzing vital data, your management can take corrective actions that will decrease the rate of denials in the future.
This is hence a long-term solution to increase your cash flow and make processes more streamlined and automated.
Our tools play a significant role in handling and analyzing such denial requests. These tools use advanced analytics and reports to ensure denials are handled as quickly as possible, to prevent any loss of revenue and delayed payments thereby ensuring a highly efficient Denial management.
Our tools and processes also shorten the payment cycle and improve collections, and as a result, revenue.
Account Management
As a business that is busy and functioning 24×7, the last thing you need is to constantly run behind your RCM service provider, asking for updates and looking for solutions.
Smart vision understands the plight well and that’s why we offer independent healthcare account management services. All our clients have their own dedicated accounts and teams and exclusive account managers who act as single points of contact between the clients and our internal teams. Add our manager to your speed dial, and you can get things done quickly and without batting an eyelid.
Depending on the extent of work, our dedicated account team can include quality auditors, receivables managers and coding managers who come with in-depth knowledge on how your processes function.
Such a setup makes handling everyday tasks and critical issues effortless and uncomplicated.
A committed, trusted partner focused on transforming healthcare outcomes through technology and knowledge.
Useful Links
Our Services
Contact us
- +1 (575) 936-2016 .
- smartvisionmedicalbilling@gmail.com
- 2201, MENAUL BLVD NE STE A, Albuquerque, NM, 87107, USA
