CAPRN has extensive experience with revenue cycle processes that has resulted in customer benefits in terms of improved cash flows and enhanced reimbursement rates.
Claims Submission
- Superbill imaging
- Coding review
- Insurance verification
- Charge entry
- Automated rules based audit and review
- Electronic submission to clearing house system
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Payment Posting
- Explanation of Benefits (EOB) reconciliation with payments
- Payment entry
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Accounts Receivable Management
- Continuous follow-up of denied / rejected claims
- Review and correction of demographic, insurance or charge related data
- Re-filing of denied claims, as appropriate
- Patient billing statements
- Filing of secondary claims
- Collection
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Reporting
CAPRN strongly believes that constant communication with the practice administrator is critical for a successful relationship. Besides the personal touch of one-on-one status / issue discussions, CAPRN submits regular customized reports as follows:
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