◾ We process denials, submission and re-submission:

We process denials, submission and re-submission rigorously until payments are received. Submission and re-submission of claims are prioritized to yield superior and rapid collection..

◾ High charge / high aging:

These claims would be processed on a priority basis as the claims need to be followed up on before exceeding the filing deadline.

◾ High charge / low aging:

The next focus would be on high dollar claims with low age as the chances of gaining collections increase.

◾ Low charge / low aging:

These claims have a higher probability of collection.

◾ Low charge / high aging:

These claims are given last priority as these claims have a lower probability of collection.

◾ Appealing:

For unsettled disputed claims we submit a request to the payer, in order to bring attention to the incorrectly denied claims. Through an appeal process, we ensure that physicians are reimbursed for their provided services.

 

◾ Detailed reporting:

Monthly reports are extracted from GeeseMed electronically. These reports provide accurate projections regarding the anticipated cash flow of the practice. The customized report option gives an estimated collection for the services provided. GeeseMed also offers various options to the user per defined reports that list detailed information including each unpaid claim.

◾ With electronic payments, providers are reimbursed on a real-time basis reducing bad debt and a large accounts-receivable inventory.

◾ Higher collection rates at minimal time.

◾ Reduced write-off amounts.

◾ Ensures that providers bill properly and are paid properly and on-time.

◾ Providing end-to-end solutions at lower rates.

◾ The electronic storage of highly secure and private patient data is readily accessible by the appropriate individuals across the institutions and geographical areas.

◾ GeeseMed provides easy-to-use electronic interfacing and one-source retrieving of a master database.

 

Denial Management

Nothing is more critical to revenue cycle profitability than to have highly efficient accounts receivable and claims denial management processes in place. It is these revenue cycle processes that determine the difference between financial stability and merely struggling to make ends meet. Whether you outsource all of your revenue cycle management functions to GeeseMed, or just the critical AR and Denial Management tasks, you can count on our professional team and knowledge to bring you valuable net returns on the resources devoted to this most important aspect of your operation

In a nutshell, outsourcing your AR and Denial Management functions to GeeseMed team will net you greater income – minimizing lost reimbursements by maximizing your effectiveness at collecting unpaid claims. It’s the right value equation to get you the highest possible return on investment – it’s a service that more than pays for itself.

◾ AR Management:

GeeseMed takes care of all the critical functions involved in AR management including filing of appeals, assessing insurance low pays, updating insurance contracts, managing unapplied balances, managing refunds, and processing patient statements and delinquency letters.

◾ The Right Value Equation:

AR & Denial Management is extremely time-consuming and most practices (and billing companies) do not devote sufficient resources to adequately pursue maximum reimbursement services are highly functionalized and supported by software tools that typically produce a significant net gain in reimbursement for each client practice, making the decision to outsource this function a clearly positive value equation.

◾ 24/7 Help Desk:

GeeseMed’s team of experts is always available to offer immediate support to you and your staff no matter what the issue or problem may be.

◾ Denial Management:

Minimize lost reimbursements and denials with highly efficient systems and services designed to meet your needs. Maximize your effectiveness at collecting unpaid claims. GeeseMed expertly tracks and manages timely follow up on all unpaid claims, ensuring that no time is lost on pursuing every reimbursement possibility.

◾ Workflow and Reporting:

GeeseMed dedicates specifically trained and experienced staff denial management, to undertake this very important work. The software tools we use allow for well managed and timely follow-up on all unpaid claims. These same tools allow for extremely detailed reporting, so that all denied claims are visible.