Our Solutions
End to End RCM Services
We offer innovative and efficient solutions customized to cater to your financial requirement.
- Pre authorization
- Verification of benefits
- Medical billing
- Payment posting
- Denial management
- AR Management
- Credit balance resolution
- Revenue cycle expertise
Focus on treating your patients while we take care of your business
Our expertise are to provide you comprehensive billing and insurance follow up services, surgery centre, physician practices, clinics and urgent care centre providers.
We expedite the process of getting paid through claims to receive funds faster, Our team has comprehensive
knowledge of the revenue cycle management.
Pre-billing
Denial management at the back end of the sales cycle has much less influence than at the front end. Background checks on patients, such as confirming insurance coverage, identifying hidden payers, and managing credentials, are included in GPS Health’s pre-billing services. These aid in ensuring a seamless billing procedure.
- Credentialing
- Patient Access
- Eligibility and Benefits Check
- Referrals and Preauthorization
- Medical Transcription
Billing
GPS Health takes care of the actions required for the timely filing of claims and carries out any necessary follow-ups.
- Coding
- HIM Management
- Charge Entry and Submission
- Rejects Management
- Secondary and Tertiary Insurance Billing
- DDE Support
Posting
We keep track of customer daily deposits and reconcile payments to each claim on their behalf. Each payment is then posted to the appropriate line item, enabling clients to spot payment trends and enhance operational procedures.
- Cash Applications
- Denial Posting
- Credit Balance Resolution Projects
Collections
- Denial Management and Root Cause Analysis
- Insurance Recovery
- Appeals
- Aged AR collections
- Cash Acceleration Programs
- Small Balance A/R Recovery
- $0 Balance Reviews
Add-on Services
Coding
Coding is one of the most sensitive processes in the revenue cycle therefore our dedicated team review and scrutiny the documents for accuracy. Accurate coding increases higher revenues and decreases the denials
- Accurate Coding
- Quality checks
- Review process
- Experienced Coders
Patient services
We offer a range of post-care support to patients, improving patient experience and satisfaction as well as our client’s bottom line.
- Patient Billing
- Patient Customer Service Calls
- Self-Pay Early Out Follow Up Services
Old AR
- Denial Management and Root Cause
- Analysis
- Insurance Collection
- Appeals
- Aged AR collections
- Cash Acceleration
- Programs
- Credit Balance Resolution
- Projects
Credentialing
These processes involve evaluating the qualifications of healthcare providers and requesting their enrolment or contracting with a plan or network.
This is to ensure that healthcare providers meet standards and can participate in insurance networks