Healthcare Revenue Cycle Management is a complex process. Creating claims and submitting is probably the easiest part. What is important is the follow up and tracking the claim post submission. This is to ensure that the Provider gets paid for every service rendered by him.
Reconciliation of claims is a crucial step in the Revenue Cycle that should be done regularly. Track needs to be kept of the claims submitted, which claims haven’t been paid, and take action to resubmit or appeal any claims which are not paid.
Vision performs a complete Claim reconciliation for your practice at the end of every month.
The following are taken into account at the time of reconciliation:
A reconciliation report is generated which:
A MIS report is generated which shows:
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