Accounts Receivable

In a typical healthcare system, about 20% of rejected claims are never resubmitted. A maze of policies, billing requirements and regulations, as well as complex managed care contracts contribute to the number of denials that go unattended. A Denial Management system can help you take control of your denials for more efficient claims processing and accelerated reimbursements. Our Denial Management solution can help you quickly uncover and correct the problems that lead to denials, so you can shorten your revenue cycle and enhance your cash flow. Effective denial management allows you to develop crosswalks between individual payer codes and common denial reason codes for trend tracking. With these capabilities, you can reveal billing, registration and coding process weaknesses that could otherwise tie up millions of dollars in unpaid claims. You can also identify which payers or insurance companies have historically denied payment, as well as which departments in your facility are encountering a high volume of denials. With access to such critical information you can improve your claims processing to not only recover lost revenue but increase the likelihood that your claims will be accepted on first submission. CTech helps in solving healthcare providers' growing problems with payer denials: the increasing incidence of insurers declining to cover submitted claims for any of a variety of clinical, technical and other reasons. Cash flow and revenue management are among the most critical factors in a professionally run practice. CTech’s RCM solutions can assist you in driving your business growth by effectively managing your cash and revenue flow by reducing the accounts receivable days. Our proven cash flow and revenue management services will improve operational cash flow by reducing bad debt and write-offs. We manage customer revenue risk while improving customer relationships at the same time

CTech also includes on time reporting of the following:
  • Payer Punctuality
  • Payer Mix
  • Aging Analysis
  • Procedure Code Analysis
  • Insurance Analysis
  • Cash Collection Analysis
  • Under Payment Analysis
  • Expected Collection Report, Charges, Payments and Adjustments
  • AR Analysis
  • Aggressive Insurance aging Follow-up
  • Self-pay Follow-up
  • Patient call center
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