For a practice to remain profitable, policies and procedures for registering patients, verifying insurance coverage, capturing charges, and processing claims we make sure everything is in place.
Credentialing
Atlantis RCM manages individual and group provider enrollment, credentialing appeals, verification, hospital privileges, and CAQH compliance management to avoid any kind of errors and mistakes.
Contract/Payer Negotiations
Upon successful credentialing, we do out of network billing by negotiating terms between the insurance company and healthcare provider so that we can receive the maximum reimbursement from the insurance company.
Eligibility/Benefit Verification
When a patient registers or schedules an appointment, our team of experts verifies their insurance and benefits match the services they require. It prevents insurance claim denials ensuring the patient's data is correct.
Scheduling Appointments
As part of scheduling appointments, we must identify the demographics of our patients, check whether there are any overlapping appointments, and ensure no more patient delays and waiting time that is unnecessary.
Atlantis RCM provides complete claim management services from submission,
processing the claims,
correcting, and resubmission.
Payment Posting
Upon successful submission and review, the payment is posted and ready for your
patient to pay.
Atlantis RCM can provide assistance both in generating billing statements and in the collection
process.
Denial Management
We have recovered revenues that would otherwise go unrecovered by using our denial
management
approach. In cases where revenue has been low due to problematic claims, managing denials will boost
profits.
Claim Submission
The back office process begins after the patient visit. By submitting claims, you
can weed out any
error that could delay the revenue process and result in denied claims. It includes charge capture
and claim submission.
Reporting
A medical practice without detailed reports can develop underlying problems. With
the help of our
real-time reports, you will be able to view financial data and performance indicators in real
time.
Charge Capture & Validation
We ensure to improve overall patient experience with proven practices for healthcare data management by gathering valid medical billing information of your patients.
Account Receivables
We've helped healthcare organizations like yours boost their AR collections by 10-20% on average. If a claim is denied, we reopen it to receive the rightful reimbursement.
Payer Follow-up
To get maximum reimbursement we make sure all your pending and no response claims are sorted timely.
Patient Statement
We make sure every statement is prompt, concise and accurate so that you can collect medical fees more effectively.
