Reimbursement Solutions for Billing Services

Ensuring maximum reimbursement is one of the many reasons why healthcare providers outsource their coding and billing. To help providers achieve this critical goal, outsource companies need revenue management tools for billing services that streamline processes while allowing them to grow and take on new clients.

The good news is that the right technology can help you boost client revenue, grow your business, and build a reputation for compliance at the same time. With ZirMed’s powerful reimbursement solutions for billing services, you can automate tasks that can drain productivity. ZirMed’s solutions apply a consistent and revenue-generating approach to each client’s unique revenue cycle management (RCM) processes. Take your company to the next level with RCM tools for billing services that provide real-time eligibility information and that can also identify hidden coverage.

Want to learn more? Take a tour of ZirMed’s comprehensive solutions to help billing companies generate—and maximize—client revenue:

Utilize insurance verification tools to verify eligibility and detect hidden coverage in self-pay

When you oversee the billing for multiple clients, it becomes extremely difficult to manage the complexity and variation of today’s health plans. Your clients don’t always provide the right insurance and demographic information, making it difficult to submit accurate claims. In addition, clients may span multiple states, making Medicaid billing even more complex. You need revenue management tools for billing services that provide real-time eligibility information as well as coverage detection to find coverage in self-pay. Here’s how ZirMed can help:

Capture payments with point-of-service and self-pay patient collection tools for billing services

Your clients now face the daunting task of collecting directly from patients, many of whom have high deductible health plans. You need collection tools for billing services that help clients think more strategically about financial patient engagement, improve collection rates, and cater to patient preferences and satisfaction. Savvy collection tools for billing services keep both clients—and patients—happy. Here’s how ZirMed can help:

Accelerate cash flow using claims reimbursement tools for billing services

Quick and accurate payments keep your billing services company running smoothly. Unfortunately, many barriers stand in your way: ensuring clean claims, processing paper payments, and manually matching deposits to remits are just a few. You need automated remittance processing and reimbursement deposit management to gain real-time cashflow insight. By automating reconciliation, you eliminate thousands of hours wasted on labor-intensive manual processing, reduce the risk of errors, auto-post pre-reconciled download files, and expose missing items—all in a matter of seconds. Once the claims are processed, the work isn’t done – ZirMed tracks claims through adjudication so that nothing slips through the cracks. If we don’t receive a response to a claim, we’ll automatically check up on it so that you can have confidence that you’ll be reimbursed in full. ZirMed’s claims management solutions make it easy to process remittance advice to keep the cash flowing. Not only does ZirMed’s platform increase reimbursement but it also streamlines workflows. ZirMed allows for the creation of workcenters for management. With workcenters, you can boost productivity by creating workgroups that focus your staff on the claims you assign to them; group claims by rejection message; filter, reassign, and export claims; and save time by pulling rejections across multiple accounts into one work list. Here’s how ZirMed can help:

Integration Capabilities

By design, ZirMed’s revenue cycle management platform enables creators of healthcare technology solutions to seamlessly and easily incorporate our HIPAA and PCI-compliant applications and transactions into your software solutions. Using ZirMed’s integration capabilities, organizations seeking a traditional approach of exchanging EDI transactions may transmit and receive a variety of claims, payments, eligibility inquiries, and other healthcare transactions using established technologies and methods such as X12 files, APIs, Flat Files, FTP, Encryption (i.e. PGP), and more. You’ll have confidence knowing that your exchanges are occurring securely, in compliance with all regulatory guidelines, and utilizing existing technological capabilities.

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