• Vision
  • Provider Enrollment / Credentialing
  • Patient Demographics
  • Medical Coding
  • Payment Posting
  • Accounts Receivable

REVENUE CYCLE MANAGEMENT (RCM)

ACN Healthcare offers medical billing services, focusing on every aspect of the medical billing / patient cycle. We strive to achieve the best possible timely reimbursement for our clients, as the faster one can prepare a bill, the faster and clean the claims the sooner the reimbursement. With this in mind we work 24x7 and have dedicated billers and billing analysts to work while you sleep.

Provider Enrollment / Credentialing

ACN Healthcare offers credentialing and re-credentialing services. We offer these services whether you are a new practice starting or an established practice. Our credentialing services are performed by experienced individuals who have been in the medical field for over 20 years and were former medical office managers.

Medical Coding

At ACN Healthcare, we have a team of AAPC (American Academy of Professional Coders) certified medical coding specialists and they strictly adhere to Insurance and Government Regulations. Our medical coding team is well versed in ICD-9, CPT coding, and HCPCS codes across various specialties.

We also provide CAC (Certified Ambulance Coders) through the National Academy of Ambulance Coding based on client requirements.

Additionally, a 100% audit and Q&A process is adhered to before we move into the production phase for a new client contract, thus assuring accuracy and client satisfaction.

Patient Demographics

Timely and maximum reimbursement is a critical factor totally depending on accurate entry of demographics and charge information. Critical error due to clerical lapses is given utmost priority in order to tackle issues at the onset using six sigma methodologies. At ACN, our team of dedicated personal enters information quickly and accurately which is highly essential in ensuing that this critical issue is timely resolved for the success of ensuring clean claims and high productivity

Eligibility

Insurance Verification becomes the most crucial part of the RCM cycle as it could avoid denials relating to COB which affect the reimbursement within the 30 to 60 cycle. Our dedicated team uses internally developed applications and if require physical calling to determine the eligibility of the patient avoiding rejections and denials forefront.

Charge Capture

At ACN Healthcare, we do charge entry as a part of the healthcare revenue cycle management services. Since we have prior experience in handling different renowned medical billing software and several medical specialties, we start with the process directly, saving staff training time and effort. We pre-define account specific rules in charge entry for different medical specialties which reduces the room for errors and contributes to clean claims.

Payment Posting

At ACN Healthcare, payments received from patients & insurance companies are posted to the patients accounts in the client's medical billing system. The posted payments are balanced against the deposit slips to ensure accuracy in payment. The payment posters also check for any under payment being made to the accounts. We also do electronic posting of payments in to the medical billing software and ensure that the EOB files are stored for future references.

Accounts Receivable

The largest and normally the most significant asset of all healthcare providers is their accounts receivable. At ACN Healthcare, our Accounts receivables management function is designed to be the complete solution to difficulties that occur in your cash flows and is operated as an extension of your business section. The goal here is to recover the funds owed to you as quickly as possible by continuously work on identifying and improving processes that can improve efficiencies at each step of healthcare revenue cycle management while meeting the industry's best practices.

Our Affiliation

HBMA

Appele Developer

Certified