our services
Scheduling
We know patient scheduling is central to your physicians’ workflow and productivity. They designed a powerful scheduler with daily, weekly, and monthly calendar views, real-time patient eligibility, customized encounter forms, and advanced scheduling rules.
It provides the ultimate control of your physicians’ most precious resource – their time.
Authorization, Eligibility and Verification
Our pre-authorization experts undertake thorough verification of the patient’s insurance scheme to get the request preauthorized by the insurance companies. We take into account all the benefit terms against the required medical procedures to minimize any chances of error or denials.
Medical Coding
Medical coding plays a crucial role in your healthcare facility’s revenue cycle. Your coding must be accurate, efficient, and secure to maintain healthy revenue and compliance. Broadway Healthcare Solutions provides medical coding solutions for hospitals, physician offices, Independent Practice Associations and a variety of other healthcare providers.
Broadway Healthcare Solutions Pvt.Ltd. coding cater to a variety of healthcare settings and specialties with expertise in complex Inpatient, Outpatient, and Professional Fee (Ambulatory) coding. Our coders are highly trained, experienced, and AHIMA and/or AAPC certified. Quality and Security are our highest priorities, we continually strive to maintain compliance and guarantee 95% or greater accuracy, so you can be assured your facility is receiving the best-in-class coding partnership experience.
Billing
Expert healthcare back-office support is critical for medical billing companies to deliver error-free billing services. An error-free bill leads to clean file submissions and guarantees 100% reimbursement for medical services. Broadway Healthcare Solutions Pvt.Ltd. has expertise in providing a range of healthcare back-office support services for medical billing companies in USA.
Our experts stay concurrent with the ever-dynamic healthcare regulations. We combine our up-to-date knowledge and expertise to deliver quality services in the face of evolving regulatory changes.
Cash Posting
Broadway Healthcare Solutions pay utmost importance to the payment posting services in medical billing. Our operations team is particular to making efficient payment posting.
Starting from filing and posting the hardcopy of Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA), our team focuses on the settlement of accounts and filing of secondary claims.
Things we manage during EOB scanning:
- Secondary Claims Processing
- Reconciliation
- Denial posting and processing
- Manual or Electronic payer interface posting.
Accounts Receivable Management Services
We help healthcare providers reduce days in A/R with our timely follow-up services that ensure you clearly understand the reasons for delays in accounts receivable and promptly follow-up with insurance companies and patients.
Accounts receivables include the management of endless reports dealing with insurance claims and reimbursements, collection analysis, bad debt reviews, and write-offs.
Denial Management Services
Denial management is critical for any medical billing process, healthy cash flow is what makes the billing process efficient and successful and for that revenue cycle, denial management is a very important factor. We at Broadway Healthcare Solutions do our best to quickly determine the causes of denial and foresee any future risks and turn around payment as quickly as possible.
We also aggressively work at investigating each unpaid claim, identifying trends by insurance carriers and appeal the rejection in the appropriate manner, this provides our clients not only the clarity to proceed further also the best solutions to manage claims in the present and future.
Denials and rejections are one of the biggest hurdles that overwhelm healthcare reimbursements. Both rejection and/or denial due to lack of specificity or inaccurate billing.
Reasons for claim denials:
- Late submission
- Duplicate claim submission
- Incorrect patient information
- Missing patient information
Services mentioned in the claim are not covered under the insurer’s scope - Incorrect registration data
- Documentation error
- Pre-authorization errors
What do we do as a claim denial management service?
- Determine the cause of denials
- Investigate unpaid claims
- Observing and tracking critical reasons behind claim denials.
- Proper appeal letter for denied claims
- Working on an efficient solution to resolve the issue
- Keeping up with trends by various insurance carriers to avoid denials
Faster approval of claims - Reduce your claim denial ratio to improve your cash flow