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 payor mix and track all the prior authorization requesting payors 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 payors, 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 payors prior authorization departments comes in handy in this workflow. We have pre-set formats and payor 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.
18 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 & enrollment 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 payor contracts (BCBS, Aetna, Cigna, UHC and Humana) in under 90 days, which is a great TAT.