MedVanta’s suite of solutions goes beyond that of a traditional management services organization and is designed specifically for independent physician practices.
Our revenue cycle and Central Billing Office was built by the expert team at The Centers for Advanced Orthopaedics – one of the largest private orthopaedic groups in the nation and our founding partner. Our team’s 50+ years of collective billing services experience will streamline receivables, collect more money and identify problems faster. We’re excited to take the model we built over the last decade to support you.
Our Revenue Cycle & CBO services include:
Management Of The Claims Submission Process:
- Front-end scrub edit process for all claims (suspended, queued eClaims, invalid, rejected)
- Management of hard copy claims (queued paper claims - primary, secondary, and tertiary), daily claim file reconciliation (Modmed and Trizetto) and unbilled claims
- Managing daily statement errors with invalid patient addresses
- EDI Management (Enrollment, 837, 835, STEM)
CODING SERVICES:
- Providing certified professional coders and auditors
- Offering feedback and guidance on physician documentation
- Training new and existing providers, as needed
AR Follow-Up, Denial Management & Appeals:
- Coordination for account information or questions
- Oversight of all billing communication
- Denials and appeals management and resolution
- Follow-up on unpaid claims for payment (AR follow-up) for 121, 91, 61 and 31-day buckets
- Managing overpayment requests, investigating insurance credits, having monies retracted or providing information to refund insurance
- Managing payer correspondence (EOBs and letters) and CBO monthly payer newsletter
- Responding to tasks regarding claim denials, corrections and appeals
Payment Posting & Reconciliation:
- Reconciliation of all collections based on daily file from ReMedics
- Posting payments and balance to the ReMedics treasury report total
- Identification of missing payments and ensuring funds are disbursed
- Oversight of the deposit, payment and reconciliation process
- Posting payments from the collection agency
