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Old AR Cleanup
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#### **Old AR  Clean Up**
 understand that medical billing involves extensive work and tracking of bills. Backlogs are created and cleanup is essential to maintain transparency in records. Purview Healthcare’s trained staff and experts skilfully take up cleanup projects and clear up the accounts with diligence so that claims are paid at the proper time.
We work by accessing the client systems and follow client policies and procedures to settle outstanding insurance balances. The brilliance of our staff lies in the fact that that they understand the various insurance types so that our clients are reimbursed effectively and efficiently.
The idea is to clean up your old accounts so that you can concentrate on exigent claims that require your immediate attention. We will also ensure that the low account balances will not pile-up causing further concerns. Our dedicated experts confirm that clients do not run the risk of reducing cash flow or increasing accounts receivable days, thus clients can focus on daily accounts.
Purview Healthcare’s systematic assistance in cleaning up your old accounts will increase your overall profitability and improve the overall efficiency of your Organization.
##### **Trust us for efficiency!**
## Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
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Patient Statements
Due to high insurance premiums, employers nowadays are providing health insurance policies to their employees with higher deductibles, more co-insurance, larger co-pays, and many services that are just plain not covered. This leaves more patients with balances that need to be paid to your practice. Purview Healthcare includes billing patients for these balances.
We generate easy-to-understand patient statements weekly on a 30-day cycle. This creates a continuous flow of revenue. Patients send payment directly to your practice. We do not touch your money. Our direct phone number appears on the statement so that patients will call Purview Healthcare directly with all of their billing questions and concerns – no more time-consuming phone calls for your practice. We provide your patients with the best possible customer service to answer their questions, interpret their EOBs, and work with their insurance
companies to get their claims resolved.
 is not a collection agency but we make every effort to collect your money. We try to help your patients pay their bills. We will send out three patient statements, a demand letter and follow up with phone calls. Based on your criteria, we will work with patients to set up payment plans if needed and monitor these payments. If the patient balance remains outstanding after these efforts, we recommend that the account be turned over to a collection agency or an attorney for collections upon your approval.
Clearing Rejections
## Clearing house & Payer Rejection
The medical billing software on your desktop creates an electronic file (the claim) also known as the ANSI-X12 – 837 file, which is then uploaded (sent) to your medical billing clearinghouse account.
The clearinghouse then scrubs the claim checking it for errors (arguably the most important thing a clearinghouse does); and then once the claim passes inspection, the clearinghouse securely transmits the electronic claim to the specified payer with which it has already established a secure connection that meets the strict standards laid down by a HIPAA
At this stage, the claim is either accepted or rejected by the payer, but either way, a status message is usually sent back to the clearing house who then updates that particular claim’s status in your control panel. Now you have an accepted or rejected claim. If rejected, you have a chance to make any needed corrections and then re-submit the claim.
A rejected claim has been rejected because of errors. An insurance company might reject a claim because a medical billing specialist incorrectly input patient or insurance information. Once a medical billing specialist amends the errors on a rejected claim they can resubmit it for processing with an insurance company
### Reasons to Choose Purview Healthcare for Clearinghouse & Payer Rejection Accurate Resolution For Rejection
Our team at  has professionals who pay great attention to detail, which ensures that the rejection resolution provided are highly accurate and error free Our team at Purview Healthcare has professionals who pay great attention to detail, which ensures that the rejection resolution provided are highly accurate and error free
### Quick Turnaround Time
We make sure that we deliver all the services within a quick turnaround time to prevent any delay in rejection resolution.
AR Cleanup
**AR CLEAN UP Services AND INSURANCE FOLLOW UP Specialists:**
**•** The number of services provided by physicians, hospitals, and nursing homes are continuously increasing. Each time patients are given treatment and care, they owe a certain amount to the physicians or hospitals.
**•** An effective insurance model helps healthcare organizations in recovering overdue payments from insurance carriers easily and on time. This is when accounts receivable  come into the picture. It helps the healthcare service providers run their practice smoothly and successfully, while ensuring the owed amount is refunded back in as short a time as possible.
**•** Why is it Necessary to Have AR Team for Healthcare Services?
**•** The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Medical billing A/R and revenue cycle management handled by an in-house team is a thing of the past.
Today, it demands billing professionals with a specialized skill-set to look after the A/R follow-ups services.
**The 3 Stages of Medical Billing A/R Follow-up**
**•** STAGE 1: INITIAL EVALUATION
**•** STAGE 2: ANALYSIS AND PRIORITIZING
**•** STAGE 3: COLLECTION
**Roles and Responsibilities of A/R Specialists**
**•** The A/R analytics team is responsible for studying and analyzing denied claims as well as partial payments. Also, if any claim is found to have a coding error, the A/R team corrects it and resubmits the claim.
**•** The A/R follow-up team constantly communicates with patients, healthcare service providers, and the insurance firms and takes necessary actions based on their feedback or responses. The skills and quality of services delivered by the A/R team eventually helps in determining the financial health of a healthcare practice.
**6 Reasons Why A/R Follow-up is Important in Medical Billing Process:**
**•** FINANCIAL STABILITY OF THE HOSPITAL
**•** HELPS IN RECOVERING OVERDUE PAYMENTS
**•** MINIMIZE TIME FOR OUTSTANDING ACCOUNTS
**•** CLAIMS NEVER GO MISSING
**•** CLAIMS DENIED CAN BE FOLLOWED UP
**•** RECOVER CLAIMS KEPT PENDING FOR INFORMATION
**•** Outsource your Account Receivable Follow-ups to Purview Healthcare:
**•** Our highly experienced A/R Cleanup team & Insurance follow up specialists has worked with various insurance companies and is well-versed with all their policies.
We ensure that our customers do not face any difficulties in receiving the payments for the services they have provided. If you have any such requirement, feel free to get in touch with us or talk to one of our representatives and we will get back to you within 24 hours.
Provider Credentialing
You could have a team of professional physicians who possess the right qualification and license but without enrollment, you could invite risk of payment hurdles. To enhance the performance of your practice you must complete primary source verification to – enroll with payers, switch practice, or add new physicians to existing groups. If you lack the know-how to navigate the physician credentialing process, you need to outsource provider enrollment services to professionals like us.
Purview Healthcare is a provider of enrollment and credentialing services with afirm grasp of payer’s guidelines. We can help you get enrolled with insurancecarrier’s network so that you can provide quality service to patients who arecovered by the carrier. Our tailored healthcare credentialing services will helpyou get reimbursed faster.
**Physician Credentialing Services We Offer**
Prevent revenue disruption by choosing Purview Healthcare credentialing solution because we collaborate with nearly any practice providers to source detailed information and speed up enrollment with insurance carriers at fraction of the cost. Our professionals are adept at guidelines followed by many leading Medicare, Medicaid, and commercial insurance payers. We offer high-quality physician credentialing services that will help with the following –
1. Form preparation based on insurer guidelines
2. Provider enrollment formalities and credentialing
3. Tracking CLIA, CAQH, DEAs, NPI, and MA registration, as well as expiration of NYS registration
4. Re-credentialing support
5. Form and document submission for faster approval
6. Record and certificate verification
7. Aggregation of document and certification details coupled with the preparation of application forms
Purview Healthcare is a provider of enrollment and credentialing services with a firm grasp of payer’s guidelines. We can help you get enrolled with insurance carrier’s network so that you can provide quality service to patients who are covered by the carrier. Our tailored healthcare credentialing services will help you get reimbursed faster.
**Why Choose Purview Healthcare Physician Credentialing Services?**
Purview Healthcare is a world-class provider of physician credentialing service. If you can’t keep up with the complex regulatory compliances and are contemplating hiring an in-house team, you could save your revenue by outsourcing physician credentialing services to us. Being deeply involved in solving administrative challenges across healthcare we have reached the apex of this industry by being a reliable and trustworthy physician credentialing partner. Our services will spare you from umpteen troubles that can result in financial losses and litigation. Here are some reasons why we get approached to outsource physician credentialing services –
**Certifications**
We are a business that satisfies your credentialing needs because we have the skill, knowledge, and expertise to recognize your needs ahead of the service. Our competent staff follow ISO and CPCS certified practices that put our services a notch above the rest while being duly HIPAA compliant
**Data Security**
Trusting and working with us is easy. You need not harbor concerns about your confidential data ending up in wrong hands. With a routinely monitored network, we manage your data, documents, and files in a secure way so that it aggrandizes your practice
**High Accuracy and Quality Service**
Our enrollment services are executed by meeting industry benchmarks. We ensure that physicians are affiliated with the insurance company’s network and possess relevant practice qualifications for becoming eligible for payer’s reimbursement. The application process is periodically evaluated to ensure adherence to insurance carrier’s terms
**Short Turnaround**
Fast services are liked by most clients because it saves time and money. The physician credentialing services we offer is custom made for growing your client volume and achieving payments 35% faster
**Scalability**
Our physician credentialing services are designed to adapt and evolve when the need to scale arises. When your patient footfall grows, it becomes imperative to have a speedier system that is fully compliant with the standards
**Pocket-friendly Pricing Options**
Whether you want comprehensive or customized physician credentialing service we have the solution that is ideal for your budget. With a flexibly priced service, you can achieve profitable results without spending a fortune
**Single-point Contact**
When you need to get in touch with us you will not have to face multiple barriers because you can straightaway interact with a dedicated professional who will respond to your query on tap. Our subject matter specialists will be available at your local time zone to serve you in a quick and efficient manner
**Experienced Team of Certified Credentialing Professionals**
We are a physician credentialing company with 200+ professionals who are experienced in credentialing services. We offer complete assistance in maintaining compliance, developing credentialing process, and maintaining practitioner database
**Modern Infrastructure**
Purview Healthcare has the latest infrastructure that enables our provider enrollment and credentialing services team to harness the full potential of the credentialing software. Backed by our advanced physical and technology infrastructure you can easily navigate through challenging healthcare and insurance carrier compliances
**Secure Data Exchange**
Being a technology driven company we offer a secure FTP and VPN that lets you share files and documents related to project in a secure way
**Round-the-clock Availability**
We are reachable by phone, email, and online chats at your local time zone ona 24x7x365 basis. We are never too far when you need to reach us