Accelerated Revenue Management Service (ARMS)
SAINCE Accelerated Revenue Management Service (ARMS) is exclusively designed for Hospitals like yours. While SAINCE is a recognized leader for providing ARMS services to physician groups and larger practices, SAINCE is now offering tailored Accelerated Revenue Management Services for hospitals as well. Through our Extended Business Office (EBO) methodology, SAINCE is able to quickly implement meaningful ARMS capabilities which you can configure and control based on your business situation.
The end result is a flexible business service for actively managing your revenue cycle activities while improving your cash flows and reducing DNFCs. The service impacts all facets of the revenue cycle including charges, coding, claims, billing, collections and analysis. At the same time you are significantly reducing your costs to improve your cash flow position, creating significant improvements in your back office procedures used in this process, materially improving your revenue cycle performance metrics, and most importantly providing better service to your patients.
Our outsourced ARMS service offering includes:
Coding and Data Entry
Our Coding and Charge Entry Service gets your claims and demographics entered in your system rapidly and accurately. By using advanced communication technology in combination with qualified and experienced billing professionals, we can get the claims sent to payers faster, with less errors and at lower cost.
- Charge entry by our billing professionals
- Coding by experienced Coders
- Verification of all claims before submission for fewer denials and underpayments
Billing and Claims Processing
Our Billing and Claims Processing service adds substantial velocity to your revenue cycle. We bill faster, process faster and follow up diligently.
- Data Entry of Charges, posting of Payments from Paper EOBs
- Submission of secondary claims
- Eligibility Verification prior to appointments
- Daily Claims Submission to most payers
- Patient Statement submission services
- Tracking of claims immediately on submission
- Diligent follow up with Insurance Payers after 30 days of submission
- AR Analysis to identify Underpayments and Denials
- Monthly audits to identify patterns of denials and fix them before next month submission
- Extensive and customizable reports
AR and Payment Posting
Hospitals and Clinics face a significant challenge every day - processing all the paperwork or EOBs received daily, that accompany payments from health insurance payers.
Accurate and timely processing of each EOB is crucial to determine full payment has been received, and the claim can be closed or if it must be resubmitted to the payer. Since EOB data is used to update the remittance processing system and patient medical records, there is often significant data entry involved.
- ARMS offers the following to meet this challenge:
- Converting paper documents to electronic format
- Posting payments in to the AR system
- Submit secondary claims from EOBs
- Extensive Document management system
AR Analysis and Follow Up
Lack of accurate information and inadequate follow up results in direct loss of revenue. Our advanced analytics, extensive reporting capabilities and diligent follow up results in significant improvement in revenues.
- Advanced Analytics
- Receivables Analysis
- Payer Follow-up
- Denials Management
- Resubmission of Claims
- Secondary Claims Submission
- Extensive Reporting
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