CREDENTIALING PLAYS A VITAL ROLE FOR YOUR PRACTICE'S REVENUE GROWTH

At JV Healthcare Solutions, our credentialing specialists hold in-depth knowledge and experience that fulfill a provider’s credential needs, from start to finish. We provide a wide range of medical credentialing services such as fee negotiation, fee schedule updation, re-credentialing, etc to help providers get credentialed in the best possible way. Our medical credentialing specialist collects the required documents, sends applications to insurance carriers, and helps providers get credentialed faster by reducing the waiting time.

IMPORTANT SERVICES AT A GLANCE
1 – CAQH, PECOS & NPPES portal maintenance.
2 – Credentialing & Re-credentialing
3 – Price negotiation after receiving the contract
4 – Fee schedule updation
5 – EFT Enrollment and various Insurance portal creation

Medical Coding and Billing

Proper visit coding is essential for your practice to receive the correct reimbursement and avoid denials.
Our team of experienced coders are all AAPC certified and have years of experience in this space, which gives you the confidence that every visit will be accurately coded and submitted to the insurance company.

Using multiple coding software tools to minimize coding errors and cross-reconciliation by the expert before releasing the final claims to the payers.
Because of team is located in India, the medical billing capital of the world, the visit coding team codes while you sleep. You wake up and your codes are there from the prior day.
Plus, you’ll get these expert resources at a fraction of the US-based cost due to the cost of living being less for the highly qualified Indian team to make your revenue cycle management even more effective.

AR FOLLOW UP (Denied & unpaid claims)

Timely and accurate payments are critical for your business’ revenue cycle management, and so the team at JV Healthcare Solution will proactively research claims that are not paid.

We will be reviewing claim status reports, communicating with insurance companies or other payers, and investigating any issues with patient eligibility, coding errors, or missing information.

You will be kept informed of the status of these claims and any actions being taken to resolve outstanding issues.

Doing so will minimize the work for your team, making this more affordable for you and more likely to see timely reimbursement.

Working on daily clearinghouse rejections, daily AR aging files and maintaining proper AR notes in the software.

DENIAL MANAGEMENT

Denial management plays an important role in any practice’s revenue growth. Other providers may simply status a denial claim, leaving you in a lurch and frustrated.
This is not the experience you will have at JV Healthcare Solution. We will proactively research all claims over 14 days (or 30 days, your choice), create a summary, and then collaborate with you on the unique procedure that our team uses to resolve this process in the future.
A dedicated and highly experienced denial management team working daily with different AR reports to minimize denial errors.  
Involving the coding team in any kind of coding errors, auditing every denial by the quality team, calling payers and discussing with them to reprocess the pending claims
JV Healthcare Solution can help you optimize your revenue cycle management and improve your bottom line.

PAYMENT POSTING

You need efficient payment posting to help your practice keep track of payments, maintain accurate records, and optimize your revenue cycle management.
Our experienced team of payment posting specialists ensures that every payment is accurately recorded and posted to the appropriate account.
We always focus on technology-driven kinda work, so instead of manual posting, we are more into ERA posting.
Our team continues to coordinate with payers to enroll ACH, EFT, and ERA enrollment to avoid paper checks and to reduce the front desk’s burden.
With our services, you can rest assured that your payments are being posted quickly and accurately. Our reporting capability builds a thorough system of checks and balances to ensure the data is accurate and correct.
JV Healthcare Solution’s team of experts also works on various payment reconciliations like Daily collections reports, monthly payment categories reports & bank statement reconciliation.

CREDIT BALANCE

JV Healthcare Solution is intent on helping you maintain a positive reputation and relationship with insurance companies and your patients.

To help you do so, we have a system for gathering data on any balances so that your books don’t show a negative balance and you continue to build trust and integrity with your patients and insurance companies.

Credit balance resolution is an important part of your revenue cycle management, as it keeps you in compliance with regulatory requirements and your financial records stay accurate and up-to-date.

Our MIS team will coordinate with your team monthly to share with you CREDIT BALANCE reports.

Patient statements in medical billing refers to the documents sent to patients outlining the details of medical services they’ve received, the associated charges, insurance payments, and any outstanding balances. These statements play a crucial role in transparently communicating financial information to patients and ensuring timely payments. 

JV Healthcare Solution’s Patient statement process

1. Timely generation of statements via electronically
2. Increase in reimbursement from the patient bucket
3. Proper mechanism of tracking patients due
4. Dedicated patient follow-up team with specialized invoice queries call back number assigned 

CLIENT AUDITING & REPORTS

Client auditing, also known as provider auditing or medical coding auditing, is the process of reviewing and evaluating the accuracy, compliance, and quality of medical coding and billing practices within healthcare organizations, medical facilities, or medical billing companies.

The goal of client auditing is to ensure that coding, billing, and documentation practices align with industry standards, regulatory guidelines, and specific payer requirements. To know more, reach out to us at JV Healthcare Solution.

Apart from monthly reports, any specific reports from the client side, our MIS team will deliver on a timely manner.