SlideShare a Scribd company logo
www.mgsionline.com
Tips to Avoid
Revenue Cycle
Management
Errors
 With new advances, medical data is deciphered,
managed, and transferred; innovation has made
more factors to a provider’s prosperity than ever
before.
 Claim submission, managing claims denials are
major processes in medical billing services.
 Adapting technologies like EHR, PMS, and
electronic tools would enhance the Revenue Cycle
Process.
 Revenue cycle management systems help to
streamline the medical billing process like coding,
changing and documenting claims, etc.
 By controlling the billing process most common
revenue cycle management errors are avoided.
 It leads to profitability and productivity.
www.mgsionline.com
 Keeping up a steady flow of income for the
physician is very important.
 With margins tightening and income declining,
holding a steady income may seem tricky. Many
things have changed in the revenue cycle.
 To subsist with the changes in the healthcare
industry, the revenue cycle process has
gradually improved, to mention a few —
changing from paper works to EHR, adapting to
ICD 10 coding, Automated medical billing,
Computer-assisted Coding(CAC), Web-based or
cloud-based Softwares, etc.
 With these constant changes, errors might seem
inevitable.
 Let’s discuss the revenue cycle errors and how
to fix them.
www.mgsionline.com
Errors are a major reason for claim denials. Before submitting the claims, have to
double-check the claim to prevent denials. Incorrect and missing details lead to claim
denials. During the claim submission, double-check the following details to eradicate errors:
 Patient Name
 Addresses
 Date of Birth
 Insurance information
 Dates of treatment etc
 Verify coverage details
Identify the Missing or Incorrect
Information
 Insurance carrier name
 ID number
 Group number
 Type of plan and coverage
details
 Patient policy status and
effective date
www.mgsionline.com
Insurance Eligibility
Verification
 Physicians have to verify the
patient’s eligibility to ensure they will
get paid for service rendered.
 To reduce the physician’s burden,
the medical billing company
offers Insurance eligibility
verification services.
 They help to increase revenue,
prevent denials.
www.mgsionline.com
 Maximize billing collections
 Reduce billing errors
 Reduce denial rates
 Improve patient satisfaction
 Save operational costs
Benefit of Eligibility
Verification Services
www.mgsionline.com
Avoid Delayed Claim
Filing
Understand the claim filing deadlines as per
the third-party payer contracts. Some payer
agreements may require a short timeline,
with an inability to meet these imperatives
result in claim rejection. To avoid the
delayed claim filling, follow below things.
 Provide Accurate Patient Demographics
 Verify Insurance Eligibility
 Obtain Pre-authorization
 Appealing Timely Filing Denials
www.mgsionline.com
About Us
 MGSI is the best medical billing company in
Florida, US. Our company has 25+ years of
experience in the healthcare domain.
 We provide medical billing and coding services
that include revenue cycle management, denial
management, AR follow-ups, Medical claim
submission, etc.
 We use the latest technologies for medical
claims processing. We help you to get quick
reimbursement.
 To learn more about our services visit us
on www.mgsionline.com
www.mgsionline.com
CREDITS: This presentation template was created by
Slidesgo, including icons by Flaticon, and infographics
& images by Freepik and illustrations by Stories
Do you have any questions?
Follow the project updates
Mail: info@mgsionline.com
Call: +1 877 896 6474
Visit: www.mgsionline.com
THANKS!

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Tips to avoid revenue cycle management errors

  • 2.  With new advances, medical data is deciphered, managed, and transferred; innovation has made more factors to a provider’s prosperity than ever before.  Claim submission, managing claims denials are major processes in medical billing services.  Adapting technologies like EHR, PMS, and electronic tools would enhance the Revenue Cycle Process.  Revenue cycle management systems help to streamline the medical billing process like coding, changing and documenting claims, etc.  By controlling the billing process most common revenue cycle management errors are avoided.  It leads to profitability and productivity. www.mgsionline.com
  • 3.  Keeping up a steady flow of income for the physician is very important.  With margins tightening and income declining, holding a steady income may seem tricky. Many things have changed in the revenue cycle.  To subsist with the changes in the healthcare industry, the revenue cycle process has gradually improved, to mention a few — changing from paper works to EHR, adapting to ICD 10 coding, Automated medical billing, Computer-assisted Coding(CAC), Web-based or cloud-based Softwares, etc.  With these constant changes, errors might seem inevitable.  Let’s discuss the revenue cycle errors and how to fix them. www.mgsionline.com
  • 4. Errors are a major reason for claim denials. Before submitting the claims, have to double-check the claim to prevent denials. Incorrect and missing details lead to claim denials. During the claim submission, double-check the following details to eradicate errors:  Patient Name  Addresses  Date of Birth  Insurance information  Dates of treatment etc  Verify coverage details Identify the Missing or Incorrect Information  Insurance carrier name  ID number  Group number  Type of plan and coverage details  Patient policy status and effective date www.mgsionline.com
  • 5. Insurance Eligibility Verification  Physicians have to verify the patient’s eligibility to ensure they will get paid for service rendered.  To reduce the physician’s burden, the medical billing company offers Insurance eligibility verification services.  They help to increase revenue, prevent denials. www.mgsionline.com
  • 6.  Maximize billing collections  Reduce billing errors  Reduce denial rates  Improve patient satisfaction  Save operational costs Benefit of Eligibility Verification Services www.mgsionline.com
  • 7. Avoid Delayed Claim Filing Understand the claim filing deadlines as per the third-party payer contracts. Some payer agreements may require a short timeline, with an inability to meet these imperatives result in claim rejection. To avoid the delayed claim filling, follow below things.  Provide Accurate Patient Demographics  Verify Insurance Eligibility  Obtain Pre-authorization  Appealing Timely Filing Denials www.mgsionline.com
  • 8. About Us  MGSI is the best medical billing company in Florida, US. Our company has 25+ years of experience in the healthcare domain.  We provide medical billing and coding services that include revenue cycle management, denial management, AR follow-ups, Medical claim submission, etc.  We use the latest technologies for medical claims processing. We help you to get quick reimbursement.  To learn more about our services visit us on www.mgsionline.com www.mgsionline.com
  • 9. CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon, and infographics & images by Freepik and illustrations by Stories Do you have any questions? Follow the project updates Mail: info@mgsionline.com Call: +1 877 896 6474 Visit: www.mgsionline.com THANKS!