REVENUE CYCLE MANAGEMENT

REVENUE CYCLE MANAGEMENT

“Be the hero your patients need, and we will take care of the rest.”

At South Bill Care, we understand your primary focus is patient care. Our expertise lies in optimizing and streamlining your revenue cycle to reduce costs and ensure prompt payment. Unlike many competitors, we exclusively serve Pediatric Therapy Centers and Individual Pediatric Therapists. We acknowledge the complexities of Revenue Cycle Management and are committed to being your partner in enhancing and simplifying the process. Whether you need full-cycle management or assistance with specific processes, we are here to support you.

Our Process

Insurance Eligibility Verification

We will verify with the insurance company that the patient has benefits towards the intended treatment.

Insurance Authorization and Dr.’s Signature

We will obtain the authorization from the insurance company for treatment (if applicable) and ensure that the Dr. signs the evaluations.

CPT Charge Posting

We will record and enter the charges associated with the therapy provided into the billing system. We will verify the CPT codes and modifiers to make sure that the correct information is being applied.

Insurance Claim Submission

We will send detailed information about the therapy provided to the insurance company for payment. Before submission, the claims undergo a scrubbing process to check for errors, inconsistencies, or missing information.

Review Claim Submission for Rejections

We will monitor submitted claims for rejections by the insurance payers and correct any errors as well as re-submit the claims.

Payment Posting

We will review the EOB and match the payments to the claims verifying the payment accuracy.

A/R Follow up and Denials

We will identify adjustments and denials per the EOB and investigate and resolve any issues found.

Client Reports

We will provide the client with monthly RCM reports ensuring all billable services are captured, thus reducing missed revenue opportunities.

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