Revenue Cycle Management (RCM)

Angel Infotec Inc. is a Healthcare Management Services company absolutely focused on US Healthcare industry. We concentrate in proffering end to end services to our clients all across US.

Patient Registration:

This process involves collecting patients’ demographics. Our teams step ahead to process, verify and validate demographic information of the patient and register a patient prior to an appointment at the clinic / hospital.

Eligibility & Benefits:

You no longer have to be concerns of lost billing due to delays or errors in insurance checks; we verify eligibility and benefits for you by verifying coverage on all Primary and Secondary (if applicable) Payers by utilizing Payer Web Sites, Automated Voice Responses and phone calls to Payers. We also Contact patient for information if necessary. Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more.

Medical Billing & Coding:

We ensure the quality of our coders by an effective auditing and monitoring mechanism. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare Contractors, AMA, Medical Societies and Federal Organizations. In addition to this we provide extensive training sessions and mentoring program for all coders. This includes training which is specialty specific, process-specific or client-specific. Our coders have access to the most updated reference material from Ingenix, CMS and other sources.

Data Entry & Patient Demographics:

We help our clients to enter any data into the system which may be valid to any payment, demographics, notes, alerts etc.

Referral & Authorization:

We check on the status of referrals with multiple payers. In addition we also receive referrals from other providers. We obtain Pre- Authorization Number. As certain if authorization is required for schedule procedures. And obtain verbal and written authorization for medical treatment from appropriate sources.

Charge Posting:

Our expert billing team shall take care of your charge posting from the super bill. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare Contractors, AMA, Medical Societies, and Federal Organizations

Claim Submission & Clearinghouse Denials:

Once all the charges are posted into the system, we submit all your electronic claims to the respective payers (if required HCFA 1500 paper claims too).We work on all your clearing house denials and provide proper feedbacks and suggestions to reduce the number of claims that do not pass the clearing house. A detailed Report shall be sent to the client on daily, weekly, monthly and yearly basis.

Payment Posting & Payment Reconciliation:

Insurance payments are posted to the patient accounts from EOB’s into the client's existing software packages with a turn-around-time of 24 hours. We also generate secondary claims and mail them to insurance companies. The turn-around-time for the posting of EOB's is 24 hours. Daily payments are posted into the system and it is reconciled to make sure that there is no discrepancy in the postings and daily reports are sent to the client.

Denial Management & Secondary Insurance Billing:

All the denials are segregated and forwarded to the Denial Management Group for resolution of queries. The denial management team measure, monitors, analyze and resolves all the denials we receive from the payers. A detailed report is sent to the client for the same.

Accounts Receivable:

We work on improving your cash flow by reducing the number of days in AR by increasing the ratio of your collections and profitability. An effective account receivables management allows our customers to improve their revenue which has great bearing on efficient operations and can impact business scalability significantly.

Patient Billing

We take care of the entire patient billing issues, i.e. sending out statements to patients for the amount not paid by insurance, Coordination of benefits and try to resolve any issues between the payer and the members.