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Revenue Cycle Management

The primary goal of Amaze Business Solutions and Services is to leverage its expertise in US Healthcare domain to provide Revenue Cycle Management services to all Medical Practices in an effective and efficient manner to ensure collection of maximum possible revenues from Payers and Patients for the services rendered.

Our end-to-end Revenue Cycle Management Services include,

 Eligibility Verification
Eligibility Verification

Insurance eligibility verification is the most important and significant in the process of Revenue Cycle Management. Research confirms that inadequate or incorrect insurance information provided by the patient during visits and un-updated current insurance information from the provider’s office will directly impact the reimbursements.We take care to provide a proper Insurance Eligibility Verification process as this will result in fewer claim rejections.

 Patient Demographic Capture
Patient Demographic Capture

We emphasize on accurate information capture (details such as Patient demographic and insurance information) by our trained executives at this stage, as statistics show many claims are denied by Payers based on incorrect patient data in the claims

 Charge Posting
Charge Posting

Amaze executives enter the charges in the client’s medical billing system by adhering to the account specifications after completing of our internal quality audit process.

 Claims Submission
Claims Submission

Once charges are posted our experienced professionals will submit all your claims electronically to the respective payers. We are experienced in both Electronic and Paper Claims submission processes. Our Billing executives have vast experience in handling clearing houses rejections and provide continuous and proper feedback to reduce the clearing house rejections.

Our internal workflow software FlowMaze© monitors the status of each and every claim submitted to the Clearing House to ensure rejections if any, are handled within 12 hours and appropriate actions are taken.

 Payment Posting
Payment Posting

Receipts from Payers and Patients are captured in the software with a turnaround time of 24-48 hours from the date of the receipt of EOB. Secondary claims are generated and submitted to the respective insurances. We also perform the reconciliation of payments posted against the bank's deposit sheet for each date of deposit. Less payment received from the Payers are flagged in our FlowMaze© Workflow software and immediate actions like appeals are made to the Payers for correct payments.

 Accounts Receivables and Denial Management
Accounts Receivables and Denial Management

FlowMaze© Workflow software facilitates capture of each and every denial received from the Payers and automatically identifies the major problem areas that the bottom line. Analysis based on the Payer adjustment codes on remittance advice are performed by our Senior Analysts. Based on the analysis, the claims are resubmitted, re-billed with necessary documentation or appealed – keeping in mind the client and Payer driven parameters.