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End to End Revenue Cycle Management Services

Patient Demographics and Charge Entry

Patient Demographics and Charge Entry

Patient Demographics and Charge Entry

 Our meticulously trained Data Entry and Quality Control Team meticulously ensure the precise entry of all provided data. Recognizing the critical importance of accurately capturing insurance ID numbers, claims addresses, and all demographic information linked to insurance, we directly enhance claim payment efficiency. 

Medical Coding and Audit

Patient Demographics and Charge Entry

Patient Demographics and Charge Entry

  Our team comprises AHIMA or AAPC certified coders with extensive expertise across a wide array of chart types and specialties, spanning inpatient, outpatient, same-day surgery, E/M, multiple surgical specialties, emergency department, observation, ancillary, recurring, as well as diagnostic and interventional radiology. With deep experi

  Our team comprises AHIMA or AAPC certified coders with extensive expertise across a wide array of chart types and specialties, spanning inpatient, outpatient, same-day surgery, E/M, multiple surgical specialties, emergency department, observation, ancillary, recurring, as well as diagnostic and interventional radiology. With deep experience in facility, pro-fee, and risk adjustment coding, our advanced medical coding solution ensures unparalleled accuracy and swift turnaround. This streamlined approach not only reduces costs but also alleviates the burden for healthcare finance executives, practice managers, and physicians across hospitals, health systems, providers, and payers 

Payment Posting

Patient Demographics and Charge Entry

Payment Posting

 Our seasoned billing professionals are adept in handling various types of Explanation of Benefits (EOBs) from all payers, proficiently managing both manual and electronic payments (ERA's). We meticulously post payments received from patients and insurance companies to the respective patient accounts within the client’s medical billing sy

 Our seasoned billing professionals are adept in handling various types of Explanation of Benefits (EOBs) from all payers, proficiently managing both manual and electronic payments (ERA's). We meticulously post payments received from patients and insurance companies to the respective patient accounts within the client’s medical billing system. To maintain accuracy, each posted payment undergoes thorough reconciliation against bank deposit slips on a daily basis, ensuring meticulous balance between received payments and recorded transactions 

Denial Management

Eligibility & Benefits

Denial Management

 Our skilled denial management team conducts thorough analysis of your remittance advice, pinpointing root causes behind denials, zero pays, and claim reversals, then diligently addresses them until resolution, ensuring swift closure of each claim 

A/R Follow-Up

Eligibility & Benefits

Denial Management

 Effective collection of Accounts Receivable is paramount for any medical practice, yet it presents considerable challenges. Strato Business employs skilled professionals and implements efficient methodologies for receivables recovery. Leveraging our Internal Accounts Receivable Software, we streamline analysis of outstanding receivables 

 Effective collection of Accounts Receivable is paramount for any medical practice, yet it presents considerable challenges. Strato Business employs skilled professionals and implements efficient methodologies for receivables recovery. Leveraging our Internal Accounts Receivable Software, we streamline analysis of outstanding receivables and conduct proactive follow-up with insurance companies, ensuring a seamless and effective recovery process. 

Eligibility & Benefits

Eligibility & Benefits

Eligibility & Benefits

 In an era characterized by high patient deductibles, we alleviate the burden by proactively gathering both eligibility and benefit information ahead of the patient's visit. This essential service becomes increasingly valuable for your clients as they grapple with rising patient payment responsibilities. 

Correspondence and Appeals

Correspondence and Appeals

Correspondence and Appeals

 Stop losing up to 24% of potential revenue due to uncollected funds. Research indicates that around 70% of denied claims are reclaimable, yet merely half of these are resubmitted. Our unparalleled correspondence and appeals procedure ensures maximum recovery. Through persistent follow-ups, we consistently retrieve revenue on your behalf. 

Provider Credentialing

Correspondence and Appeals

Correspondence and Appeals

 This function is crucial for providers seeking to join a payor network and optimize revenue generation. Our seasoned staff meticulously handle provider credentialing, meticulously reviewing essential documents and completing required forms to ensure a seamless process. 

Credit Balance Resolution

Correspondence and Appeals

Credit Balance Resolution

 Addressing incorrect adjustments, erroneous credits, and the misuse of debit codes presents significant challenges in managing credit balances, demanding precision, attention to detail, and a commitment to operational excellence. Strato Business analysts are meticulously trained and diligent, ensuring the accurate resolution of outstanding credit balances. 

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