Balancing patient care with revenue cycle challenges is tough. We simplify the process with expert solutions and advanced technology, ensuring seamless operations while you focus on what matters most—your patients.
Inaccurate eligibility and benefits verification leads to delayed payments, increased claim rejections, and revenue loss. According to CMS, up to 75% of denied claims result from patient ineligibility.
At The Ascend Healthcare, we streamline the verification process, ensuring accurate eligibility checks, coverage validation, and payer coordination. Our seamless integration with your practice management system reduces rejections, accelerates payments, and improves cash flow.
Our services include:
Checking the patient’s eligibility and obtaining prior authorization before the patient visit.
Verify patient demographic information.
Update your practice management system with the approvals and other information received from the payer.
Follow-ups for approvals through the payer’s portal.
Verify coverage of benefits with the patient’s primary and secondary payers.
Claim denial appeals where required.
Incorrect demographic information is one of the top five reasons for claim denials. Errors in details such as the Insurance ID number, Date of Birth, SSN, or other demographic data can lead to claim rejections. Even minor formatting issues—such as extra characters like dashes or asterisks—can cause a payer’s system to reject a claim.
To mitigate charge entry errors, we have robust validation mechanisms in place. Our dedicated team conducts thorough reviews and verifications before submitting claims. Any discrepancies are identified and corrected promptly, minimizing the risk of denials. By ensuring accurate charge entry, we maximize claim acceptance rates and accelerate payment cycles.
The diagnosis and procedure codes are pulled from the EHR, verified for accuracy, and supplemented with all required claim data. Once validated, claims are transmitted electronically to the clearinghouse.
Clearinghouse reports are reviewed promptly, and any rejected claims are immediately corrected and resubmitted. Additionally, we continuously monitor payer rejections to identify trends and implement proactive measures, ensuring a smoother claim processing workflow.
Accurate payment posting prevents revenue leaks, reduces claim follow-ups, and enhances financial stability—while errors can disrupt cash flow, frustrate patients, and complicate audits.
Our payment posting services go beyond ERAs—we match EFTs, reconcile deposit logs, and manually post EOBs while managing documentation from banks, clients, and third-party DOX hosting applications. We index and map these documents for seamless follow-ups, appeals, and secondary claims.
Our payment posting team are true bean counters, meticulously accounting for every line item and every cent of low payments or questionable adjustments. Many of our reconciliation staff are accountants by qualification, with a natural flair for matching, reconciliation, and bookkeeping.
When done right, payment posting services will help identify revenue leakages before they impact your practice’s profitability and financial sustainability. Get it wrong, and you are faced with a severe cash flow crisis, wasted hours in claim follow-ups, irate patients, and potential complications in billing audits. With our efficient payment posting services, we help medical practices achieve a faster payment cycle and give practice owners a true insight into the practice’s financial status.
Let us optimize your revenue cycle while you focus on patient care.
Our deep analysis, strategic insights, and proactive follow-ups with payers drive stronger financial outcomes for your practice. We specialize in recovering aged AR, providing customized reports that empower you to optimize collections.
Partnering with The Ascend Healthcare means proven results, increased revenue, and peace of mind knowing your accounts receivables are managed by experts. Whether as a standalone service or part of a full-cycle process, we analyze unpaid, low-paid, and slow-paid accounts, follow up with insurers, and coordinate with attorneys, DME providers, and other stakeholders to resolve payments efficiently.
Unlike others, we are incentivized by collections—not just AR activity. We focus on real performance metrics like dollars per touch and wasteful touch reduction, ensuring every interaction moves claims toward payment. With The Ascend Healthcare, expect a smarter, results-driven approach to AR recovery.
Our services include:
Identify claims in AR that require follow-up with payer
Old AR recovery services
Follow-up with insurance on claim status
Reports and Insights on paid, unpaid and partial paid claims
In medical billing, denials differ significantly from rejections. While rejections occur when claims contain errors and are halted before processing, denials happen after a claim has been processed and the payer refuses payment.
At The Ascend Healthcare, our denial management team comprises experienced professionals proficient in various billing and practice management systems. They excel at interpreting denial EOBs/ERAs, analyzing account histories, and implementing corrective actions, including filing appeals when necessary, to secure payments on denied claims.
Our services not only address current denials but also delve into the underlying causes, providing actionable insights to reduce future denial rates. By identifying patterns and implementing process improvements, we help enhance your practice's revenue cycle efficiency.
Addressing current issues is only part of effective Revenue Cycle Management (RCM). At The Ascend Healthcare, we employ advanced analytical tools to preempt future problems and detect potential issues early.
Our comprehensive revenue cycle analytics identify inefficiencies within your processes. By meticulously gathering and analyzing data, we pinpoint areas for improvement, enabling collaborative solutions that drive meaningful change.
The insights derived from our analytics offer a holistic view of your organization's operations, highlighting areas such as increased denials, frequent rejections, delayed accounts receivable cycles, underpayments, and low patient collections. Addressing these issues enhances financial stability and operational efficiency.
Recognizing the importance of informed decision-making in healthcare, our tools feature intuitive dashboards and customizable reports tailored to your specific business objectives. This empowers you with actionable analytics for critical decisions.
Our clients have realized significant benefits from our detailed revenue cycle analytics, including trend prediction and strategic adjustments that foster growth.
Partner with The Ascend Healthcare to transform data into actionable insights, ensuring a resilient and efficient revenue cycle.
