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.

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• 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 you collect from the old accounts.

• We prioritize your A/R based on insurance and take up the claims which are close to Timely Filling on Priority Basis

• We use our specialized templates for appeals on Medical Necessity

Credentialing & Contracting

• Medicare (PECOS) Enrollment -Ensure the CAQH profile is accurate before starting any credentialing process. We help with PECOS enrollment as well.

• PPO – Credentialing – Cigna, Aetna, UHC, BS, Anthem, etc.