Sleep study is continuously evolving in the US because more and more patients are being affected by this disease. But do you know what the main issues US providers face? It’s maintaining an accurate billing process to make sure no claim denial occurs. However, the healthcare staff performs almost all the healthcare operations, which is why it becomes difficult for them to improve patient care. So, what can you do to make sure this doesn’t occur in your healthcare? You need to take the help of the outsourced sleep study billing services, which know all the ins and outs of the claim submission process.
These dedicated experts know all the complex nuances of the CPT, ICD, and HCPCS codes to make sure no claim denial occurs. Apart from that, they also know how to streamline the prior authorization process. In addition to that, they also know how to use the right technology so that you can quicken the claim submission process. These RCM experts are also highly cost-effective compared to the in-house staff. So, if you want to streamline your billing process, it can be a feasible option to take the help of outsourced billing services.
Advantages of Choosing Sleep Study Billing Services
Sleep study specialists come with a lot of benefits, which tackle all the administrative tasks related to patient care. But what are the tasks specifically that the RCM experts handle? Let’s dive into the answer, then.
Staying Updated With the Latest Regulations
Healthcare staff stay busy tackling the administrative hassles, hence they don’t get the time to focus on enhancing patient care. It’s not that your staff don’t know the latest regulations, but it’s not their main job. Here, the outsourced RCM experts know all the intricate details of the latest coding regulations to tackle the RCM process. Moreover, they also know all the complex nuances of the HIPAA law to protect patient data. Hence, staying updated with the latest regulations can be considered as one of the major reasons for choosing the outsourced services.
Streamlining the Prior Authorization Process
Prior authorization is a very complex and time-consuming process. It’s because there are numerous steps required in this procedure. First, you need to verify patient eligibility, then collect important patient documents, and finally, submit the PA request to make sure no error occurs. Here, you need the help of sleep study billing services that tackle this complex PA process. Moreover, these experts also help with following up on your denied claims to make sure no claim denial occurs.
Cost-effectiveness
The in-house team comes with a high cost. It’s because you need to train them and also buy expensive office space for them. Moreover, you also need to provide them with the right software to speed up the claim submission process. Here, you need the help of outsourced RCM experts who are previously trained, and the outsourced teams also provide them with the required office space. Furthermore, these experts know all the latest software to make sure no claim gets denied.
Knowing the Right Technology
Technology plays a major role in quickening the claim submission process. But the healthcare providers go through many administrative hassles, which is one of the major reasons why patient care gets affected. On the contrary, the outsourced sleep study billing services know all about the usage of the right technology. They know how to use Brightree, Kareo, and all other claim submission software. In addition to this, these RCM experts also know how to properly do the electronic prior authorization procedure to speed up the claim submission process.
How to Choose the Right Company?
As there are so many RCM companies out there, how do you choose the right billing expert for your clinic? So, before hiring any company, check if they help reduce your operational costs by 80%. Moreover, they also help with 99% accuracy in charge entry, coding, denial management, and claim scrubbing. These experts provide dedicated account managers at no extra cost, and they don’t have any binding contract or restrictive clause. They provide a custom reporting protocol according to the client’s requirements and up to a 97% first-pass rate of submitted claims.
These companies have dedicated employees with US phone numbers. The RCM experts also provide 10% buffer resource and free account supervisors and internal auditors. The sleep study billing services provide top-of-the-line infrastructure setup and real-time audits. These experts are 100% HIPAA-HITECH compliant and have less than 48 hours of turnaround time. Moreover, these experts have low service fees with no hidden or transactional costs. It has also been observed that these companies also help with other specialties such as DME, orthotics and prosthetics, urgent care, gastroenterology, cardiology, infusion, and many more specialties. So, when you think about outsourcing, it can be a good option to take the help of sleep study billing services.

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