At Vee we aim is to improve the client's cash flow by reducing days in Accounts Receivable and improving profitability, by increasing collections ratio. Our Team process mechanism helps in identifying category / payer combinations and works on resolving the mix that results in the best collections first. Using this approach, Vee are able to quickly achieve results and also apply early feedback across the entire category.
Our A/R Followup team is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid and partially paid claims. It is essential to follow-up and document unpaid claims prior to the 60 or 90 days timely filing limits assigned by many managed care contracts. Vee run reports on accounts 30 to 60 days past due and call insurance companies to check claim status, re-file, or gather additional information. Our goal is to keep the average age of Accounts Receivable at 45 days or less.
At Vee , it is all about prompt reimbursement. Our skilled coding and billing, effective insurance processing and follow-up, timely collection, attentive patient and client service, and sophisticated data management contribute to shortened revenue cycles and improved revenues. Our experienced Vee technology experts proactively research claims when payers fail to adjudicate claim within the specified time frame.
At Vee we are extremely familiar with the current State and Federal Insurance regulations and strive to obtain high rates of return from their Follow-up efforts. Effective Accounts receivable begins with proper coding. The claims are checked for proper order and placement of CPT codes and modifiers. Consistent, thorough, detailed follow-up is performed by our domain experts. Their involvement with the insurance carriers has enabled our specialists to develop contacts and rapport that help speed the payment process. All the claims are tracked until they are paid. Every payment is checked against the carrier's fee schedule. Our Accounts Receivable Experts are proficient in the appeals process.
Additional payment is often received on appeals for:
Downcoding.
Nonpayment of E & M (evaluation and management) codes
Assistant surgeons.
Secondary procedures considered incidental to the primary procedure.
Incorrect allowances as compared to the published fee schedule.
Process denials and file appeals to have denials overturned, when documentation supports the procedure.
