REVENUE CYCLE MANAGEMENT
We have the experience and skills necessary to tackle just about every type of job that comes our way. With Zen Medical Services, clients know exactly what to expect - professionalism, efficiency and exceptional results.
Eligibility Verification
Ensure every patient is eligible before submitting the claim
Authorization
Ensure every procedure has required authorization in place before claim submission
Charge Entry
Ensure every charge has appropriate Date of Service, ICD, CPT, modifier combination, place of service, authorization & referring/rendering physician
Workman Compensation Billing
Ensure every claim has required reports, Date of Injury, Authorization/Claim number before submission
Payment Posting
Ensure ERA/EOB are posted accurately and secondary/patient billed
Denials and Rejection Follow Up
Follow up on denials within 24 hours
Appeal on denied claims
Appealing where required is important for prompt payment
Secondary Insurance Billing
Attach primary EOB for secondary payment
Patient Statement Generation
Ensure every patient statement is accurate
Daily Appointment Reminder
to collect balances from the patient – Inform office about daily patient balances to be collected at the time of service
Account Receivables Recovery
We help recover the old account, prioritise A/R based on insurance, and take up claims that require timely filling on a priority basis.
We have specialised templates for appeals on medical necessity, credentialing, and contracting. The Medicare (PECOS) Enrollment Process ensures that the CAQH profile is accurate before the credentialing process and provides help with the PECOS enrollment. PPO-Credentialing: Cigna, Aetna, UHC, BS, Anthem, etc.