INCREASE YOUR REVENUE EFFORTLESSLY

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Earn What Is Rightfully Yours

Healthcare organizations rely on Revenue Cycle Management (RCM) with coordinated billing, coding, finance, and clinical teams to maintain financial stability, provide quality care, and ensure compliance with regulatory exigencies. It requires coordination among various departments, including billing, coding, finance, and clinical teams.

MORE ABOUT RCM

A Common Misunderstanding About RCM

It will not be an understatement to argue that RCM is the lifeline of every physician's practice. Unfortunately, many healthcare professionals misinterpret RCM as equivalent to their practice medical billing. The expanded income stream mostly relies upon time management and the practice process that commences at the time of registration where patient insurance eligibility is determined and co-pays are collected. It finishes with properly coding claims using ICD-10 and sending them out on time. An effective billing system is also an essential benchmark of good revenue cycle management.

MANAGE YOUR RCM WITH TECHNOLOGY

As a result of the HITECH Act, providers were able to automate their Revenue Cycle Management by implementing certified EHR and Practice Management systems in their offices. Technology has magnified the efficiency of practice workflow and improved patient care tremendously. Advanced automation of the revenue cycle solutions helps providers, front desk and clinical personnel, and coders and billers to not only reduce time but also boost performance levels.

LET US HELP YOU WITH TECHNOLOGY

2htech is operational as a software development and integration company as well. We have worked with more than 30+ EHR systems like eCW, All-scripts, Athena Healthcare, Nextgen, Mdland, and many more on various integration projects. So, We have got you covered on the technology aspect of your practice management.

We Offer A Customizable Revenue Cycle Management (RCM) Module

Set your procedures to match how you operate or mold a thorough rule for your practice with a variety of methods to alter it, 2htech delivers end to end Revenue Cycle Management (RCM) Solutions that help providers to be paid quicker so you can focus on giving outstanding services.

Fee Schedule Review And Analysis

Our RCM module begins with fee schedule review and analysis. 2htech along with an expert team billing team has fee schedule specialists having an extensive knowledge of the fee schedules of the following year and that for all networks as well. We consider it a pre-requisite of billing to get an exact idea of what we are looking at in terms of reimbursements.

Patient Scheduling and Registration

It is important to perform accurate and complete patient scheduling and registration. This involves collecting patient demographic and insurance information, verifying insurance coverage, and obtaining necessary authorizations. We have a well-trained team fully equipped with fundamentals of excellent customer service and HIPAA compliance.

Eligibility and Benefit Verification

Our insurance verification team has detailed knowledge of all insurances and plans they offer. They verify patients' insurance coverage and eligibility to ensure that services will be covered by the insurance plan keeping close contact with the denial management team to review any previous denial history and most common cases. This helps prevent claim denials and billing issues.

Coding And Claim Submission

Accurate medical coding is crucial for proper reimbursement. Medical coders assign specific codes to diagnoses, procedures, and treatments. We have certified coders hired as consultants commencing full practice coding review. After coding our skillful medical billers submit claims to insurance companies or third-party payers for reimbursement. Ensuring that claims are accurate, properly coded, and include all necessary documentation.

Claim Processing And AR Follow Ups

Once claims are submitted, insurance companies review and process them. Our medical AR professionals monitor the status of claims, follow up on any denials or rejections, and work to resolve issues to ensure timely reimbursement. We use retrospective approach to keep detail reports of previously resolved denials' reasons to make certain quick reimbursements.

Patient Billing and Collections

Once claims are submitted, insurance companies review and process them. Our medical AR professionals monitor the status of claims, follow up on any denials or rejections, and work to resolve issues to ensure timely reimbursement. We use retrospective approach to keep detail reports of previously resolved denials' reasons to make certain quick reimbursements.

Payment Posting and Reconciliation

When payments are received from insurance companies or patients, Our RCM team post the payments to the appropriate patient accounts and reconcile any discrepancies. They perform EOB and ERA posting and make sure there is no disparity in payments received. We have developed a multiple layers quality assurance methodology for this step of RCM.

Denial Management And Appeals

Our medical AR specialists have extensive experience in reversing any denied claim for any reason whether it be maximum benefits exhausted, additional documents required, coding related denials, patient benefit related denials, prior authorization issues, EDI issues. They address claim denials and rejections by identifying the reasons for denials, correcting any errors, and resubmitting claims efficiently for reimbursement. In cases of denied claims, we file appeals with insurance companies to challenge the denial and request reconsideration.

Reporting And Analytics

RCM involves monitoring key performance indicators (KPIs) and financial metrics to assess the health of the revenue cycle. Analytics help identify areas for improvement and optimize revenue generation. We keep the entire process very transparent by holding regular meetings with the client and discuss the practice financial flow and do gap analysis and discuss the area of improvements to make sure even a higher revenue.

WHY 2htech

Complete

Transparency

Fix

% Charge

Customizable

RCM Module

Decreased

Claim Denials

Patient

Support

Experienced

Professionals

96

PERCENT CLAIMS ON FIRST SUBMISSION

10

PERCENT INCLINE IN COLLECTIONS

24

HOURS ACCESS TO FINANCIAL REPORTS

5

PERCENT INCREASE IN NET PROFIT

PRIOR AUTHORIZATION MADE EASY

2hTech simplifies the complicated process of prior authorization approval and derivation, enabling healthcare providers to reduce workload and denials while improving cash collections. Our specialized workflow management includes managing prior authorization checks, submissions, logic, and document storage, resulting in increased revenue through a reduction of preventable denials.

Streamline Process Flow

Reduce Denials

Rapid Riembursements

A STRUCTURED SOLUTION TO YOUR BACKLOGS AND AGED AR

Entrust Your Project To Our
Team Of AR Experts.

Every healthcare institution struggling with aged AR or stuck AR, which are insurance denials, rejections, and missing info-related claims. Often, the problem is due to lack of resources in your billing company or being overwhelmed with administrative tasks.

  • Evaluate your entire AR for the previous year
  • Prepare analysis on what is the collectible, set clear goals and deadlines
  • Recognizing denial reasons and categorize them
Devise an effective strategy as per the practice workflow
  • Strategizing & prioritizing work flow & timelines
  • Identifying patient owed balances and planning retrieval
  • Establish a communication flow with the practice
  • Set a bi-weekly progress reporting system
  • Working closely with the credentialing and enrollment team – ERA, EDI related issues
Once everything is analyzed and planned out, we then execute the plan accordingly and thrive to achieve our goals and deadlines.
  • Aggressive AR follow up on aged claims
  • Aggressive as well as assertive appeals submission

We collect what you thought you had lost.

The money you have lost should have been collected to grow your bottom line. Fortunately, we offer a simple solution for achieving just that. You don't need to fire your biller or billing team, no changes in software, and no additional cost to hire us. Just hand over that aged AR to us and let us collect on those unworked denials and rejections. We only get paid when you get paid for that lost/aged AR. It's that simple.

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