When you utilize HST’s Reconciliation Management Services, your staff usually handles scheduling, registration, and visit capture, and we take it from there. Your assigned account manager will monitor all the workflow associated with charge verification and electronic claims submission, as well as post payments, manage denials, and pursue unpaid claims.

• Your staff completes scheduling, registration and visit capture
• We perform all the workflow associated with charge verification and electronic claims submission
• We post payments, manage denials and pursue unpaid claims
• We assign a specific account manager to each client. This manager will have daily communication with your office to ensure all tasks are being completed in a timely manner.
• Our client partnership promotes open communication and improves the business challenges faced by today’s healthcare provider. This results in accountability and safety in event of key employee turnover.
• You and your staff have access to most of the features included in our ASP software.
• All patient billing questions are handled by our efficient and courteous staff
• Full Billing Service payment to HST is based on a pre-agreed percentage of monthly collections
  
  

Here are some of the ways HST can help get your revenue cycle management on track:

Real-time Eligibility

Our enhanced eligibility verification features allow operators to check eligibility electronically for almost 300 payors. For payors that still are not providing electronic access – operators can even make notes manually that are then included in future electronic checks.

Electronic Claims Submission

Our state-of-the-art electronic data interchange (EDI) group has secure interfaces with more than 1,000 insurance companies, so your claims will reach payors quickly and securely. And, you’ll know your claim was received as we get immediate electronic acknowledgements from the payors.

• No more cumbersome sending and receiving of files: HST will handle all of the steps involved in this process



• Rules-based protocols and follow-up: We’re sensitive to the differences in payment schedules among payors. That’s why our sophisticated systems are equipped with rules tables that offer automatic prompts for follow-up. When a claim remains unpaid beyond the allotted time frame, it is managed immediately.

  Because our Senior A/R team is focused on maximizing client revenue, 80% of claims spend less than 30 days in A/R for the majority of our clients

• Fewer Denials: Procedures and diagnoses are scrubbed against the correct coding initiatives (CCI) and local medical review policy (LMRP) in for a batch of visits or charges entered in Ingenix-CareTracker. We’ll work with your staff in correcting these services these so they do not they get rejected or questioned based on the code selections.



• Real-time visit capture: Ingenix-CareTracker makes it easy for you to track patient information at the point of care. With Ingenix-CareTracker, you can capture each patient visit with virtual encounter forms on any internet connected PC or wireless tablet, reducing errors and improving the quality of patient care.

• Denied claims resolution: Each denial is captured the moment it is received from the payor and coded so that the information becomes reportable. We then help reduce future denied claims through ongoing education of your office staff.



• Payment verification: We confirm that each payor is paying you the right amount by verifying all payments against contracts to ensure that revenue is not missed.



• Analysis and trending: Our account managers analyze your practice data for trends that point to areas where improvement is needed. When an insurer pays something other than the standard amount, we find out why. And, if we see that claims are often denied by a payor for a specific reason, we create filters to catch and edit the claim before it goes out the door.



• Exceptional Reporting: Real-time management and financial reports are available with the click of a button. You get the reports you need to manage and continually improve A/R. Denied claim analysis, reimbursement trends, coding usage and contract management reports are built with the flexibility to identify areas where your practice is doing well and where improvements are needed. Plus, all reports are available as PDF, Excel and Word documents and are easy to export to a spreadsheet. All report files can be published and archived for historical review.