Revenue Cycle Management

Blazevue provides comprehensive Revenue Cycle Management services to help you maximize revenue and ensure timely reimbursements for all rendered services. Our end-to-end solutions include:

Appointment Scheduling

Efficient patient scheduling and appointment management is critical to providing high-quality healthcare. Delays, incomplete capture of eligibility and authorization requirements, and convoluted processes can impact patient satisfaction and referrals negatively.

To ensure a seamless patient scheduling process, it’s essential to gather the right information and develop the right strategies for care delivery. Coordinated and streamlined appointment scheduling and management processes not only improve patient trust but also significantly impact revenue cycle performance. By using online portals and automated reminders, patients can be proactively engaged to reduce no-shows. Additionally, providers can better manage their schedules to minimize long wait times.

Patient Demographics Entry

Healthcare organizations recognize the critical role of patient demographic data, as it encompasses all essential patient details. Accurate patient demographic entry is crucial for medical billing and coding, as it directly impacts insurance claims payment. Submitting error-free patient demographic information ensures timely processing of insurance claims by insurance providers. Our team of well-trained medical billing professionals can quickly and precisely file all necessary data from the patient demographic sheet and transmit it to payers during the client’s working hours. Outsourcing patient demographic entry to us guarantees higher accuracy and lower costs and will be secured for your organization!

Charge Entry

Charge entry is a crucial process that assigns the appropriate monetary value to a patient’s account based on selected medical codes and corresponding fee schedules. The accuracy of charge entry plays a critical role in the reimbursements for healthcare provider services. Errors in this process can increase the risk of claim denials, leading to revenue leakage and lost revenue in the millions. At Blazevue, we take a collaborative approach to ensure that our coding and charge entry teams work together seamlessly. This ensures that all procedures are billed for, and the codes are compliant and accurately captured. By working with us, you can significantly reduce revenue leakage and achieve optimal financial outcomes for your healthcare organization.

At Blazevue, we have a comprehensive process that ensures accurate and timely medical billing. Our process includes the following steps:

• Receipt of documents: We receive all relevant documents such as super bills, charge tickets, and clinical documentation via an FTP server, EHR, or document management system.
• Patient demographic information: We record all essential information such as patient demographics, date of service, billing provider, referring healthcare provider, point of service, date and time of admission, ICD/CPT codes, number of units, and modifiers.
• Workflow automation: We use automation to provide daily reporting to our customers and facilitate collaboration to ensure compliance with timely filing norms.
• Charge review: We review all imported charges for accuracy before billing to reduce the possibility of front-end rejections.
• Statistical Quality Control: We employ SQC methods to review the quality of the process through random audits.
• Provider-specific rules: We adhere to pre-defined provider-specific rules for different specialties and services rendered to ensure compliance with industry regulations.
• Pending documents review: We review any pending or held documents with the client daily to reduce any backlog.
• Charge audit services: We also perform charge audit services to identify any missed charges, instances of over-billing, and medical coding errors, further reducing the possibility of errors.

Payment Posting

Payment Posting is a crucial step in the Revenue Cycle Management process. Our team ensures that all payments received through Electronic Remittance Advice (ERA) or Explanation of Benefits (EOB) are posted onto the system within 24-48 hours. Our daily reconciliation reports ensure timely identification of any discrepancies or issues. Any denials are promptly captured and forwarded to our denial analysis team for further action.

Our payment posting services include:

Two levels of quality audits to ensure adherence to international standards

A team of trained staff members who understand patient responsibility, including secondary balances and other financial obligations.

We pride ourselves on providing accurate and efficient payment posting services to ensure timely reimbursements and reduce revenue leakage for our clients.

Accounts Receivable Follow-up

At Blazevue, we understand that every dollar counts, and we are committed to helping you recover all outstanding payments. Our Accounts Receivable Follow-up service includes thorough follow-up with insurance companies on outstanding claims that are over 30 days old. Through diligent AR calling, we have successfully collected millions of previously untapped dollars for our clients. We provide weekly/monthly reports on trends and details to keep you informed on the progress of your accounts. Trust us to help you recover the revenue you deserve.

Denial Analysis & Resolutions

Blazevue offers denial management services to help healthcare organizations improve their profitability. Denial analysis is a crucial component of any healthcare organization as it helps in minimizing denials by analyzing ambiguous data and identifying the root cause of the problem. At Blazevue, we meticulously follow up on denials and implement efficient denial analysis and resolutions to ensure successful appeals. We understand that denial management can be a nightmare for healthcare providers, and most of the time, the main reason for denial is incorrect or missing data.

To arrive at a perfect denial resolution, we work as a roadmap and consider several factors, such as charting every code according to the denial type and responsibility. We believe in providing the best denial management services by using compatible software and appropriate methods. Our staffs use industry-specific tools to study denial trends and patterns, identify the root cause of costly denials, and generate process reports to measure denied claims. We ensure seamless software integration and efficient workflow to prevent the future recurrence of denial.
We strive to deal with denials within 72 hours of receipt, reduce the cost to collect, enhance account collections, and manage denials efficiently. Our aim is to reduce manual work and effort involved in checking denial errors, thereby providing a hassle-free and efficient denial management service.

Monthly Patient Statements

Patient statements are essentially medical bills that are typically sent out to patients via regular mail or electronically. As a healthcare provider, you may be spending a significant amount of time in analysing and sending out these statements, and you may even have administrative staff whose primary responsibility is to manage medical billing. By engaging a patient statement service, you can outsource these duties and streamline your operations, which can lead to reduced administrative costs, more efficient collection of medical fees, and increased focus on patient care by your staff.