Patient Scheduling and Registration

Accurate patient scheduling and registration are the first steps in a successful revenue cycle. By capturing accurate information from the start, we reduce the risk of claim denials and delays.

Real-time Insurance Verification: We confirm patient eligibility and insurance coverage before services are rendered, ensuring that claims are processed without complications.
Accurate Demographics Collection: Our team ensures that all patient information is correctly entered into the system, reducing billing errors and improving the efficiency of the entire cycle.

Coding and Charge Capture

Accurate medical coding is essential to ensure that healthcare services are billed correctly, allowing for timely reimbursements. HealthTigers provides coding services to ensure that every procedure, test, or consultation is captured with the correct codes.

ICD-10, CPT, and HCPCS Coding: Our certified coders follow the latest coding guidelines to ensure proper billing for all services.
Charge Capture: We track all services rendered and ensure they are accurately documented, preventing revenue leakage and ensuring that nothing is missed during the billing process.

Claims Management and Submission

Submitting accurate and timely claims is key to reducing denials and accelerating payments. Our claims management service ensures that all claims are submitted to insurers without errors and on time.

Claims Adjudication: We manage the adjudication process to ensure that claims are processed efficiently, addressing any issues that may arise during the approval process.
Timely Claims Submission: We submit claims in a timely manner, reducing the delay in reimbursements and improving cash flow for healthcare providers.

Denial Management and Follow-Up

Denials can be a significant roadblock to revenue, but proactive denial management can prevent financial losses. HealthTigers helps healthcare providers tackle denials efficiently.

Denial Prevention: We implement strategies to identify common causes of denials and work to prevent them in the future.
Denial Appeals: When claims are denied, our team handles the appeals process, ensuring that denials are addressed promptly and that reimbursements are maximized.

Payment Posting and Reconciliation

After claims are paid, posting payments accurately and reconciling accounts ensures that the provider receives full compensation for their services.

Payment Posting: We ensure that payments are posted accurately to the correct accounts, streamlining the revenue cycle and improving financial reporting.
Account Reconciliation: We reconcile payments to ensure that the amounts received match the amounts billed, helping to identify any discrepancies that need to be addressed.

Accounts Receivable (AR) Management

Efficient management of accounts receivable is critical to maintaining cash flow. We help healthcare organizations reduce AR days, speed up collections, and ensure prompt payment for services rendered.

Aging AR Follow-Up: Our team monitors AR accounts and follows up on outstanding payments, ensuring that no payment is left uncollected.
Bad Debt Recovery: We assist with the recovery of bad debts by managing overdue accounts and negotiating with patients and insurers for payment.

Reporting and Analytics

Data-driven insights are essential for understanding the performance of the revenue cycle. HealthTigers provides comprehensive reporting and analytics to help healthcare providers make informed decisions.

Customizable Dashboards: We provide real-time dashboards that track key performance indicators (KPIs) such as claim acceptance rates, AR days, and payment turnaround times.

Tailored RCM Solutions for All
Healthcare Providers

At HealthTigers, we understand that each healthcare organization has unique needs. Our RCM solutions are customized to cater to the specific challenges faced by:

• Physician Practices: Simplifying billing processes, reducing denials, and improving cash flow for smaller healthcare organizations.
• Hospitals and Large Healthcare Providers: Streamlining multi-departmental billing, coding, and collections processes to improve financial outcomes.
• Third-Party Administrators (TPAs): Providing end-to-end claims management, ensuring compliance, and optimizing reimbursement cycles for TPAs working with self-funded plans or insurance companies.