Accounts Receivable Management Services

Our Accounts Receivable Process

Our team of A/R experts, AAPC and AHIMA certified coders, and billers follow a field-tested holistic approach designed to maximize revenue and minimize your administrative burdens. Our A/R process includes:

• Patient Billing and Invoicing: Once you render a service to your patient, we generate and send out bills and invoices on your behalf. These invoices include details regarding the services provided, date of service, amount owed, and payment options.
• Insurance Claim Submissions: After the patient has been billed, we submit clean claims to the appropriate insurance company. The submitted claims are audited to ensure it contains all relevant medical codes and specialty-specific modifiers, procedural, diagnoses, and treatment-related information, as well as any necessary attachments such as medical records, medical necessity, and other supporting documents.
• Claims Follow-up: Once the claims have been submitted, we frequently follow up with the insurance companies to ensure that they are processed and paid in a timely manner. This involves tracking the claims and identifying any issues or delays that may arise, as well as resolving any errors or discrepancies.
• Denials and Appeals Management: In some cases, insurance companies may deny claims, either partially or in full. When this happens, we perform root-cause analysis to identify the reasons for the denial and develop an appeal plan to challenge the decision. This involves providing additional documentation, working with the insurance company to clarify misunderstandings, or pursuing legal action if necessary.
• Collections: When patients fail to pay their bills or when insurance companies do not cover the full cost of medical services, we work to pursue collections. This involves sending out past-due notices, negotiating payment plans with your patients, or engaging with collection agencies to recover outstanding debts.

Why Choose Bristol Healthcare?

• Cost Savings: A cost-effective alternative to hiring, training, and retaining in-house staff. In addition, we help negotiate better rates with insurance companies, leading to increased revenue for your practice.
• Affordable Services:Choose from a wide range of flexible pricing plans that are light on your wallet.
• Improved Cash Flow: Improve cash flow by reducing the time it takes to process claims and collect payments. We help shrink your accounts receivables within 60 days or less and bring your outstanding A/R days down to 5 or more. We guarantee 97% collection of all unpaid bills.
• Reduced Risk: We have compliance programs in place to ensure that your processes follow all regulations and guidelines. This reduces the risk of errors or fraudulent activities, which can result in costly fines and penalties.
• Trends Analysis: We generate periodic reports on the current status of you’re A/R and provide detailed reports on the current trends to help identify opportunities and avenues for improvement.
• Ancillary Financial Services: We provide a host of end-to-end revenue cycle services that are designed to minimize your financial risk exposure.
• Certified Coders: All our coders are AAPC and AHIMA certified and possess extensive experience in CPT, HCPS, and ICD coding. They stay constantly updated on the latest AMA and CMS guidelines.
• Staff Training: To navigate the healthcare revenue cycle complexities with ease, our staff members undergo periodic training to stay up-to-date on the latest billing regulations and procedures.
• Software Expertise: Through years of collaboration with various practices and billing offices our team has become well-versed with most of the popular billing, EHR, and RCM systems enabling a smooth and seamless transition.
• Dedicated Manager: Each client is assigned a dedicated project manager and accountability partner to provide you with personalized attention, and serve as your single point of contact.
• Exceptional Support: We give equal importance to each receivable irrespective of its size and source. A highly experienced team of certified medical coders with proven expertise will be at your disposal around the clock for faster turnaround times and assist you with any queries that may arise.