At ExterSolutions, we provide a complete suite of Medical Revenue Cycle Management (RCM) services designed to streamline operations, enhance performance, and maximize sales for healthcare companies across America. Our experienced crew is devoted to delivering terrific providers and ensuring your practice runs easily.
Patient Appointment Scheduling
Efficient affected person appointment scheduling is important for keeping a steady flow of patients and optimizing aid utilization. Our team ensures seamless appointment scheduling, decreasing no-indicates and enhancing affected person pleasure.
Eligibility and Benefits Verification
Prevent claim denials and rejections by way of verifying patient insurance coverage and blessings in advance. Our meticulous verification procedure ensures that offerings are included, decreasing monetary risks and improving cash glide.
Medical Transcription
Accurate medical transcription is essential for preserving unique patient information. Our expert transcriptionists provide well-timed and accurate documentation, ensuring compliance with enterprise requirements and helping exquisite affected person care.
Medical Coding, Charge Entry, and Billing
Our certified coders utilize the modern ICD-10, CPT, and HCPCS recommendations to ensure accurate scientific coding. Coupled with green rate entry and billing approaches, we guarantee that sales are efficaciously coded and billed, maximizing repayment and lowering errors.
Claim Submission
Making sure that claims are submitted promptly and as it should be. Our streamlined methods reduce delays and expedite charge cycles, enhancing your sales circulation.
Claim Rejections
Addressing claim rejections right away is vital for preserving coins that go with the flow. Our team identifies, analyzes, and rectifies the root reasons of declare rejections, and resubmit claims quickly to make certain timely bills.
Payment Posting and Secondary Claims Submission
Accurate price posting is crucial for financial monitoring and evaluation. We make certain that every bill is posted successfully and manipulate the submission of secondary claims to capture each dollar owed in your practice.
Denial Management
Our proactive denial management technique entails identifying styles and root causes of denials. We paintings diligently to solve issues, lessen denial fees, and enhance typical revenue cycle performance.
Medical Appeals
When claims are denied, our group is skilled in getting ready and submitting medical appeals. We suggest on your behalf to overturn denials, ensuring you get hold of the bills you deserve.
Refunds
We cope with the refund technique with precision, making sure that overpayments and refunds are processed as they should be and in compliance with regulatory requirements. Our green control of refunds facilitates holding your exercise’s monetary integrity.