A/R Management

All the money that patients owe you for every service your practice is rendering and billing is termed as AR or account receivables. Every business’s goal is to maximize its AR collections, ensuring timely payments for their hard work. Likewise in medical practices, one of the most critical functions is to manage AR. If your AR is increasing over the period this means your practice is slacking in collection of co-payment. This indicates inefficient AR management of practice which needs to be corrected immediately.

AR management unlike how simple it seems, goes all the way from filing appeals, insurance contract updates, dealing with underpayment by insurance companies, managing deferred reimbursements and dealing with bad debts or uncollectibles. Luckily Simplexmed can help you with all this. Simplexmed handles your accounts with utmost care, managing all critical functions in a manner that benefits your practice.

AR Management

In medical billing, to speed up the payment process the best practice is to enhance the function of follow-up on claims. Billing companies can help practices submit their claims as quick as within 72 hours after the services were rendered. Claim submission triggers the AR cycle. The quicker the process starts the fairer the chances are for immediate payments.

Medical billing companies and medical billing software can help practices keep a track of unpaid claims and aged collections. This may help in strengthening the follow-up function and ensures maximum collections. Reports are generated for each and every payer to assess the activity in patient accounts.

Dedicated AR follow-up team of Simplexmed believes in aggressive follow-up on all accounts with insurance companies. Simplexmed uses every possible tool like websites, fax, IVR and phone to get connected with insurance company and win your collections.

Revenue Optimizer (RO)

Revenue Optimizer (RO)

We will optimize your revenue through practice web-portal development and online marketing, payout analysis.

Claim Preparation

Claim Preparation

Error-free claim preparation and validation based on information provided by the practice

Elec/Paper Claim Submission

Elec/Paper Claim Submission

Claims can be submitted either electronically or via paper mail where required

credentialing services

Credentialing Services

When you need essential credentialing data, and you need it immediately, Simplexmed is here to help you

Elec Data Interchange (EDI)

Elec Data Interchange (EDI)

End-to-end encrypted data transfer between payers and providers along with electronic fund transfer (EFT)

Patient Service

Patient Services

Patient calls, itemized electronic and paper statements, and toll-free patient helpdesk

Reporting

Reporting

Get all the relevant reports when you need them. Easy access to all reports with a single click

Coding Services

Provide services in implementation of ICD-10 & CPT codes, help in diagnosis and procedures

Payment Posting

Payment Posting

Faster and accurate claim submission results in timely payment posting to the providers

A/R Management

A/R Management

Timely follow-up with the payers to assure timely payments to the provider

Denial Management

Denial Management

Minimal denials with active web based charge entry system

Meaningful Use

Meaningful use: is using (MU certified) electronic health record (EHR) technology