Medical and Dental Billing Company in USA and UAE

MAXIMIZE YOUR REVENUE STREAM AND OPTIMIZE YOUR CASH FLOW CYCLE.

Healthcare practices face multiple challenges when it comes to managing their revenue cycle effectively. We offer a comprehensive 360-degree Revenue Cycle Management (RCM) solution specifically designed to manage billing, coding, and reimbursement processes.

Choose from our comprehensive revenue cycle management solutions and let us take care of the intricate details, while you focus on practice growth and delivering exceptional patient care.

ELIGIBILITY VERIFICATION

Our dedicated team handles eligibility verification, leveraging advanced technology and streamlined processes. We verify coverage details, helping you avoid claim denials and reducing the risk of unpaid services. With our expertise in eligibility verification, you can optimize your revenue cycle, minimize financial risk, and provide an unmatched experience for your patients.

We Deliver:

Minimized chances of inadequate / incorrect coverage information.

Timely and proper updating of current coverage information via call and web-portal.

CLAIM SUBMISSION

We specialize in:

Error-free coding and billing.
Timely bills submission as per industry requirements and regulations, and
Regular and effective follow-up on claims.

This, in turn:

Improves your cash flow – fast track Billing and Reimbursement process.
Minimizes your potential revenue loss – by minimizing Claims Denials.
Allows you to focus on your core practice.
Improves customer satisfaction, and
Boosts your practice and customer reach.

Optimize your Revenue Cycle Management with TGC

PAYMENT POSTING

Our billing staff reconciles the EOB (Explanation of Benefits) or ERA (Electronic Remittance Advice), sent by the payers, by posting them immediately into the respective patient’s account. This ensures efficient claims resolution, improved customer satisfaction and better financial visibility in revenue cycle management process.

Payment posting is handled according to client-specific rules that indicate the cut-off levels to take adjustments, write-offs, refund rules etc.

ACCOUNTS RECEIVABLES MANAGEMENT

We aim to accelerate the cash flow cycle by recovering funds on a fast track basis. This is achieved by:

Submitting error-free claims.
Analyzing denied claims, and
Regularly following up with payers and patients for outstanding claims.

CLAIMS DENIAL MANAGEMENT

Our billing claim denial management team comprises of seasoned professionals who thoroughly:

Investigate the reason for every denied claim.
Resubmit claim request to the insurance company after re-validation of all clinical information.
File Appeals when and where required.
Focus on each denial case as a unique instance.
Rectify invalid or incorrect medical/dental codes.
Provide support clinical documentation.
Understand genuine denials in order to pass responsibility onto patients.
Follow up effectively.

Reducing Denials through Analytics:

Often, claims denials are specific to the facility or to certain processes within the RCM.
We understand trends in claim denials and make use of analysis to minimize specific causes of lead denials.

REPORTING

Our robust and disciplined analytics and reporting program assist healthcare organizations understand their revenue cycle inefficiencies. It allows you to make informed decisions based on reliable periodic data.

Our Revenue Cycle Management Analytics Services Include:

Accounts Receivable Analytics. Maximize your collections by monitoring your A/R KPI’s to identify and remove process inefficiencies.
Denials Analytics. We assist you in establishing a sustainable denials prevention process.
- Zero in on lost revenue from unpaid claims.
- Identify top reasons for denials, and
- Find out ways to improve collections.
Revenue Cycle KPIs. Benchmark your revenue cycle against market standards and identify areas of improvement.

Contact us today to schedule a free consultation and learn more about how we can help your practice thrive.