Ariban Health specializes in providing comprehensive and advanced Back-End RCM Services tailored specifically for healthcare workers. These services are designed to streamline administrative and financial processes, optimize revenue collection, and enhance the overall financial health of healthcare practices and facilities.
Here’s an overview of Ariban Health’s Back-End RCM services.
A/R Follow-Up (Accounts Receivable Follow-Up):
Ariban Health’s A/R Follow-up service is designed to efficiently manage and monitor outstanding payments from insurance companies and patients on behalf of healthcare providers. When claims are submitted for medical services, there are instances where payments might be delayed or denied by insurance companies due to various reasons.
Ariban Health’s A/R follow-up team meticulously tracks these pending claims, identifies the reasons for delays or denials, and takes proactive steps to resolve any issues.
Denial Management:
Denial Management is a crucial aspect of Ariban Health’s back-end RCM services. Denials occur when insurance claims are rejected for reasons such as incorrect coding, missing information, or insufficient documentation.
Ariban Health’s Denial Management team conducts a comprehensive analysis of denied claims, identifies the root causes of denials, and takes corrective actions to appeal and resubmit claims accurately.
Patient Statement Generation and Follow-Up:
Ariban Health’s Patient Statement Generation and Follow-Up service focuses on facilitating communication between healthcare providers and patients regarding their financial responsibilities. After insurance processing, patients often receive statements detailing their portion of the medical expenses.
Ariban Health generates these patient statements, ensuring they are clear, accurate, and easy to understand. Additionally, the service includes follow-up communications to address patient inquiries, provide clarification on billing matters, and offer convenient payment options.
Ariban Health’s back-end RCM services encompass A/R Follow-up to manage outstanding payments, Denial Management to handle claim rejections, and Patient Statement Generation and Follow-up to ensure clear patient billing communication.
Key advantages to outsourcing your Back-End RCM Services
Timely and Accurate Reimbursement
Our team is disciplined to perform efficient and timely processing of claims, ensuring timely submission to payers, and accurate billing. By promptly submitting clean claims with proper documentation, we help expedite reimbursement and reduce the risk of delayed or denied payments.
Denial Prevention and Management
Our robust denial management processes identify and resolve claim denials analyze denial trends, identify root causes, and implement corrective actions. Any denials are corrected and resubmitted within 48 hours of receipt.
Increased Revenue Recovery
Our methodical and meticulous enables organizations to identify underpaid or unpaid claims and initiate appropriate actions for revenue recovery. This includes appealing denied claims, following up on unpaid claims, and negotiating with payers to resolve payment discrepancies.
Efficient Payment Posting and Reconciliation
Our operational metrics create a discipline to post for payment no later than 48 hours after receipt. Our processes ensure accurate payment posting, reconciliation, and management of accounts receivable (AR). It matches payments received from payers with corresponding claims and ensures proper allocation. For our customers the A/R metrics in <10% for 90-120 days claims which is less than the industry average.
