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Revenue Cycle Services

Revenue Cycle Management

Characterized by unmatched efficiency in the industry, EBA’s services support healthcare organizations in need of renewed productivity and quality. Our team has the breadth of experience and expertise to help manage your healthcare business. Our services are aligned to the different stages in the healthcare revenue lifecycle from patient visit to claims settlement and beyond.

Services

Revenue Cycle Services

Accounts Receivables Follow-Up: Once claims are submitted, EBA’s highly trained team works with payers to verify claim status and expedite claim adjudication. We generate granular reports and provide them on a regular basis to provide claim status transparency.

Medical Billing: Today, as payers and government regulations complicate claims processing, first-time-right claims processing is crucial. EBA can help you simplify your billing and filing efficiency by streamlining your Accounts Receivables processes while providing an outsource advantage.

Denied Claims Analysis and Follow-Up: For every denied claim trend, EBA performs a Denial Cause Analysis (DCA) and creates a dashboard for your review. We then collaborate with you to fix the issues preventing the release, resubmit and follow up for payment as a part of our AR service. Additionally, we maintain a record of the DCA reports and employ them as lessons learned in our billing practice to prevent future errors.

Medical Practice Analysis: For multi-specialty providers we offer ongoing analysis of their medical practice to help you take better and informed decisions. EBA offers unbiased performance reviews of each of your practice areas to guide you in terms of your operational spend and expansion drive.

Medical Coding

Every member of the coding team is American Academy of Professional Coders (AAPC) credentialed coder. EBA helps healthcare providers simplify their medical coding processes. We work with you on flexible engagement models, irrespective of your current infrastructure.

EBA utilizes SFTP and VPN based access systems to acquire documents that are stored in our HIPAA compliant infrastructure. Our certified coders validate the documents for quality and completeness, and assign the appropriate diagnosis procedure codes based on ICD-10 and CPT standards. Once completed, we perform a two-level quality audit that eliminates all chances for errors.

Payment Posting

EBA Payment posting solutions reduce existing costs and errors while simplifying the reconciliation process. EBA cash posters can provide administrative support for accounting departments by posting payments, processing refunds and making adjustments.

Demographic and Charge Entry

EBA, provides demographic and charge entry in medical billing as a part of the healthcare revenue cycle management services suite or as a stand-alone service. Teams at EBA have experience in handling the entry process on various medical billing systems and for several medical specialties.

Provider Data Management

At EBA our dedicated PDM team serves as a convenient resource that enables payers and health systems aggregate and manage comprehensive information about the providers within their networks. Our team ensures detailed, accurate and up-to-date demographic data through outreach and by accessing data sources.

Eligibility Verification

Verifying patient eligibility is becoming an indispensable process when it comes to confirming coverage for healthcare services, EBA provides real-time batch eligibility services and electronic reviews.