Reveue Cycle Management

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Eligibility & Benefit Verification Real time, Online Portals and Phone Calls

NueVed’s insurance eligibility and benefits verification service obtains all pertinent information required – not only coverage confirmation, but what kind of coverage the patient has, what their deductible is, and how much has been applied. Having all necessary information generates more revenue and reduces administrative costs. Further, it reduces the number of claim delays and denials by receiving accurate coverage response.

Charge entry is one of the key areas in medical billing. The charges entered will determine the reimbursements for physician services. Therefore, care should be taken to avoid any charge entry errors which may lead to denial of the claims. NueVed provides charge entry in medical billing as a part of the healthcare revenue cycle management services suite or as a stand-alone service. NueVed have prior experience in handling the charge entry process on various medical billing systems and for several medical specialties. Our team have pre-defined specific rules in charge entry for different medical specialties which enables them to start with the process directly after few calls to understand the nuances to be followed for each client, saving training time and effort, which in-turn reduces the room for errors and contributes to clean claims.

Your coding needs vary based on patient mix and inpatient versus outpatient volumes. No matter what the requirements are for your organization, NueVed customizes a flexible coding solution to suit your needs.

Our skilled clinical coders at NueVed help organizations of all sizes improve coding operations by addressing volume fluctuations, turnaround times and staffing changes. As your coding partner, we quickly work to master all your revenue cycle requirements and unique coding rules. Our highly skilled coding specialists possess the most up-to-date coding knowledge, require minimal training, and eliminate new hire learning curves.

Our audit team is made up of Certified Professional Coders. With the unmatched expertise of our team, you will receive the follow-up education that will help you shore up your coding before a payer comes knocking on your door. Our expert coding team will take a look at your claims, pre-submission, to ensure that your claims are accurate, compliant, and denial-proof.
We perform chart audits, which allow us to perform a complete audit without disrupting your office’s daily routine. We can work with you to determine the best way to access the records while, of course, ensuring HIPAA compliance.
Our structured three-step approach to every audit will give you the maximum benefits. You’ll receive the following high-quality, in-depth service on every chart we review:

  • Coding review – a member of our coding team will review your documentation and determine the appropriate code(s) you should be reporting. We have coding experts in a multitude of specialties, who understand the specialty-specific terminology and clinical nuances that can make coding so difficult.
  • Auditor analysis – the next step is a review by one of our senior auditors. By reviewing the coder’s notes and your documentation, the auditor creates a report detailing our findings and providing you with concrete pointers on how to improve your coding accuracy and ensure compliant documentation and coding. We also include the financial impact each error will have on your bottom line.
  • Expert education – finally, once you have had a chance to review our findings, you can meet one on one with the auditor or audit team manager. During this education session, you’ll get information specific to the areas for improvement and can also get any additional questions answered. We can teach you both national and payer-specific coding rules, offer tips on how to improve your documentation and templates, provide coding tools to make your job easier, and much more.

Accuracy in payment posting, one of the final steps in the medical billing cycle, is imperative for an optimized revenue cycle. Once payments are posted to patient accounts, any denials can be addressed. Swift turnaround time and attention to detail are important aspects of the task of payment posting.
NueVed’s’ has a team of highly trained professionals who will take up the responsibility of payment posting for your business, and deliver results without a glitch. Our team can carry out all payment posting processes that includes:

  • Payment posting from Explanation of benefits (EOBs) to Patient Account.
  • Payment posting from Electronic Remittance Advice (ERAs) to Patient Account.
  • Analysis of EOBs for Under-Payment or Over-Payment.
  • Reconciliation to match payment posting to actual deposits.

Our quality assurance team validates all the payment posting data entries to ensure there that your business receives only accurate results. With a deep understanding of the dynamics of the healthcare sector, we work fast to provide you with a competitive advantage. We offer comprehensive medical billing services, and hence, you can be assured of our expertise in delivering not just payment posting services, but the critical steps that pre-empt payment posting and follow that as well. With NueVed, you will have a healthcare BPO partner that will work with you at every step of the way to expedite your medical billing process and support you on the path to profitability.

NueVed can handle the entire revenue cycle management (or any part thereof) for hospitals, physician groups, or billing companies. The process comprises of the following steps:

    • Access and Review Receivables

NueVed receives the accounts receivable data through the client’s EMR or billing system, or via upload to our secure servers through FTP. Our Accounts Receivable team then accesses, reviews and analyzes this data.

    • Aging Report Generation

The accounts receivables are sorted into age-wise buckets, such of 0-30, 31-60, 61-90 and Over 90 days.

    • Accounts Receivable Calling

The accounts receivable follow-up process is carried out by the dedicated AR team, which calls up 3rd-party payers such as Medicare, Medicaid and commercial insurance companies. Proactive follow-ups aid in determining claim status. We also follow up with you for additional information or documentation required in case of denials and rejections.

    • Analysis and Reporting

Call outcomes are documented and analyzed to generate receivables trends such as consistently low payments by certain carriers, frequent denials and rejections by carriers, and so on. The follow-up team also generates the following reports: Collections received and applied

    • Status of each claim
    • Adjustments/ Write-offs
    • Collection rate
    • Accounts receivable aging report
    • Outstanding and Trend Analysis
  • Improve your cash flow with NueVed
  • NueVed has expertise in the timely collection of accounts receivable. We have worked with several customers and understand the common reasons for the denial of claims. We can also review ICD and CPT codes to ensure that the correct codes are applied. With our services, you can save valuable time and focus on patient care and growing your business. We ensure that all your payments are tracked until realization, and each payment is checked against the carrier’s fee schedule.
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