Revenue Cycle Management
Optimize Your Income in the World With Declining Reimbursement.
Build your success and maximize your profits with Royal Edge Healthcare Solutions
FULL END OF RCM FOR HEALTH INSTITUTIONS
BENEFITS AND ELIGIBILITY VERIFICATION
BEV is the most important part of every RCM cycle. We will make sure that your patient plan is in place
coverage for the procedure you are performing. Eliminates all eligibility failures and increases revenue by at least 7-10%.
- CODING AND SPEAKING
Checking claims for maximum payments without overcoding is one way we often add clients.
income 10% – 20%. We maintain almost 100% success in the initial assessment of HCFA and UB clearinghouse claims with WC (staff compensation) and NF (No Fault). We are constantly informed about all the latest coding updates. - AR FOLLOW
We all know that insurance companies refuse to pay. This AR monitoring is the most critical part of any invoicing workflow. Receivables tracking
provides time reversal of rejection and rejection. Here at Royal Edge Solutions, we ensure that the AR monitoring team is allocated maximum resources so that a large number of applications can be tracked in a timely manner so that they can act quickly and re-employ. - REJECTION PROCEDURE
We will ensure that your AR has a minimum rejection. Our experts have extensive experience in reversing all types of rejections,
the right to refuse medical necessity, exhaustion of maximum benefit, additional documents required, coding rejection, patient benefit rejection, problems with initial authorization, EDI problems, our team is skilled in timely, effective and positive solutions and rejection rejection method follow-up and comprehensive appeals. - PROFESSION / MEDICAL REQUIREMENTS
We have a separate professional team and again it works very well with the AR team. The team has the same area code
and customized professional formats for each type of rejection. Comprehensive objections, including accurate and timely information, can have a huge impact on turning the most complex rejections into effective ones. - EOB / ERA PROVISION
We ensure that all your EOBs (Explanations of Benefits) and ERAs (Electronic Remedies Advice) are published and agreed on a daily basis.
provide your employees with an accurate end-of-day statement so they can review and gain access to average revenue growth. We have a two-tier quality system in place that allows all contributions to be checked for Level 1 and Level 2 before the final restoration report is issued. - PATIENT STATES
As patients’ balances are among the largest debt groups, successful recovery of their insurance and co-payment balances is required.
We have everything we need to ensure that we get every dollar from every patient. We manage patient listings and receive calls from patients with explanation questions, and we politely call to remind patients of their balance with all means of communication, including e-mail, fax, text messaging, and more. Change in revenue
We keep our invoicing workflow very transparent to the customer. Workflow applications from billing teams are shared with the customer for completion
transparency. All messages are shared every week. We hold a monthly REM session with the client to ensure that we develop a clear roadmap, review all aging and revenue reports, and show the client exactly what we plan to increase its collections, including revenue growth and ratings in the coming quarter.
WHY Royal Edge Solutions
- Custom RCM modules exactly for your company
- Personal service / SPOC is always available
- Fixed percentage of insurance compensation
- Full transparency / daily / weekly reporting
- The R&D team has an overview of all updates from the AMA and other industries
- A complete set of patient support services
The Primary Authorization Was Impel
Initial check-in and exit is a complicated process. Royal Edge Solutions simplifies this by allowing healthcare providers to reduce prior work permits and denials while improving collection through our dedicated pre-authorization workflow management. This includes managing pre-authorization controls, submission, logic and document retention, which leads to increased revenue by reducing the number of previous rejections. The procedure is simple!
1. SIMPLIFY YOUR JOB ADD
We review your payment mix and track all payers and codes for requesting prior authorization; Collaborate with your internal staff and physicians to ensure that we obtain prior authorization for each claim before performing the procedure. In most cases, a re-authorization option is available, so our team will have control over the primary authorization of the payers and ensure that we request the original authorization before performing the procedure, or ask for re-authorization within the time frame set.
68% reduction in time spent on the account
2. INTERRUPT ANSWER
Increase your income by avoiding denying prior permission. Royal Edge Solutions deals with specific insurance practices to increase your success. Our efficient first-hand workflow management system allows for an 8-10% reduction in rejections and streamlines the AR workflow to improve the collections chart.
10-12% increase in revenue
3. FASTER ROTATION
We’ll bring your business to the appropriate benefit manager, who will process the pre-authorization quickly. Our extensive experience with paying leading authorization departments applies to this workflow. We have pre-set formats and payment-specific forms in our pre-verification folder. This saves time and speeds up complaint processing. This improves the overall collection
25% faster decision-making time