BEV is the most crucial part of any RCM cycle. We make sure your patients plan has coverage for the procedure that you are about to perform. This eliminates all eligibility related denials and increases revenue by at least 7-10%
Claims are scrutinized ensuring maximized reimbursements without over-coding which is one of the ways we typically increase clients' revenue by 10% - 20%. We maintain a nearly 100% success rate on first attempt HCFA and UB clearinghouse claims with WC (workers compensation) and NF (No Fault) available as well. We stay on top of all latest coding updates.
We all know that Insurances will deny claims. Thus AR follow up is the most critical part of any billing work flow. Accounts receivables follow up ensures timely turn around of rejections and denials. Here at Bikham, we make sure that maximum resources are allocated to the AR follow up team so that a high number of submitted claims can be timely followed up on to enable quick action and re-working of the denials.
We make sure your AR experiences minimal denials. Our experts have extensive experience in overturning all types of denials, right from medical necessity denials, maximum benefits exhausted, additional documents required, coding related denials, patient benefit related denials, prior authorization issues, EDI issues, our team is adept at resolving and getting the denials overturned with timely, effective, affirmative follow up and extensive appeals.
We have a separate appeals and reconsiderations team that works closely with the AR team. The team has both pre-set and customizable appeal formats for each and every type of denial. Extensive appeals including the right information, submitted timely can have a huge impact on overturning the most complicated denials effectively.
We make sure all your EOB’s ( Explanation of benefits ) and ERA’s ( Electronic remittance advice ) are posted and reconciled daily to ensure an accurate end of day statement for your staff to review and access average growth in revenue. We have a two tier quality system in place, ensuring all postings go through a level 1 and level 2 check before the final reconciliation report is generated.
With patient balances among the largest of owed buckets, successfully collecting their balances after insurance and co-payments is a must. We have what’s needed to help ensure getting every dollar from every patient. We handle patient statements and take calls from patients who have statement questions, also make polite calls to remind patients of their balances using all modes of communication including emails, fax, texts etc.
We keep our Billing workflow highly transparent with the client. The Billing teams work flow logins are shared with the client for complete transparency. All reports are shared weekly. We organize monthly REM sessions with the client to make sure we lay out a clear road map, going over all aging and revenue reports, showing the client exactly what we have planned to up their collections, thus revenue growth and assessment in the coming quarter.
Prior authorization approval and derivation is a complicated process. Bikham simplifies it by enabling healthcare providers to reduce prior authorization related workload and denials while improving cash collections with our specialized prior authorization workflow management. This includes managing the prior authorization checks, submissions, logic, and document storage, resulting in increased revenue through the reduction of preventable denials. The process is simple!
We scrutinize your payer mix and track all the prior authorization requesting payers and codes; work with your internal staff and physicians to make sure we get prior-authorization for every single claim before the procedure is performed. In most cases retro auth facility is available, so our team stays on top of prior auth checks with the payers, making sure we either apply for prior auth right up-front before the procedure happens, or apply for the retro auth within the stipulated time frame.
68% reduction in time spent per account
Increase your revenue by preventing prior-authorization denials. Bikham incorporates insurance specific criteria to improve your success. Our effective prior auth work flow management system enables 8-10% reduction in denials and smoothens out the AR work flow to enhance the collections graph.
10-12% increase in revenue
We route your cases to the appropriate benefits manager for a faster turnaround time in getting the pre authorization approved. Our vast experience working with the payers prior authorization departments comes in handy in this workflow. We have pre-set formats and payer specific forms in our pre auth directory. This saves time and quickens the claim processing time. Thus improving overall collections
25% faster time to decision
This no-obligation analysis is designed to assess your current billing processes. Identify revenue opportunities and improve financial performance.
Every practice, laboratory or healthcare institution submitting insurance claims is battling that demon called aged AR or stuck AR. These are insurance denials, rejections and other missing info related claims that you are not able to do much about, due to either being short staffed, your billing company not putting in enough efforts or resources or simply because you have too much on your plate administration wise, that the billing & aged AR took a back seat.
This is money you lost. Money that could have been collected and grown your bottom line.
We have a simple solution for achieving just that. Don’t fire your biller or your billing team. No changes in software and no additional cost to hire us. Just hand over that aged AR to us and let us collect on those un-worked denials and rejections. We get paid when you get paid on that lost / aged AR. Simple.
15 years of RCM expertise, over 500 practices across the nation, a team of over 150 expert billers, pretty much taught us everything we needed to know about the most important facet of RCM – Denial Management.
Every time we took on a practice’s Billing, we made sure we set a target to reduce the denial percentage by a good 15-18% in the first quarter, and proud to say, we didn’t fail to achieve it even once. That is actually what gave birth to our credentialing & enrolment arm, because you cannot reduce a practice’s denials unless you handle their credentialing.
Hospitals are sitting on millions of aged / stuck AR that they have given up on.
Give our Aged AR experts a chance to come in, strategize and collect, what’s rightfully yours.
We outsourced our practice’s credentialing to Bikham in November 2018. Their team not only got us 8 major insurance contracts by January 2019 but also helped in re-negotiating our BCBS contract to get us a 30% reduction rate as opposed to the 50% reduction that we had initially
It was a major challenge to get through Medical for our Chiropractic practice. We had applied and had received a rejection letter. Bikham’s cred team appealed and followed this up right to the point that we got the contract within 3 months
As a mid sized lab doing over 4000 tox tests per month, we were unable to submit at least 25% of our claims due to credentialing issues. We contracted with Bikham in early 2019 and by July at least 70% of our required contracts were in and that improved our revenue tremendously.
My Medicare enrollment application had been rejected twice. BCBS said their panel is closed. That’s when I contacted Bikham, and they found out the errors on my Medicare application and got that approved in exactly 78 days, and they appealed and got me in network with BCBS FL as well. Kudos to their team !
Bikham’s credentialing team has great experience and they’re doing a great job. I have my major 5 private payer contracts (BCBS, Aetna, Cigna, UHC and Humana) in under 90 days, which is a great TAT.