Caretinuum® provides a total post-acute care solution. Regardless of your lines of business, level of technology, capital budget or vision for growth, our software tools and services combine to enable your business success.
Our goals at CareCentric® are to get results for your company, enable you to serve your customers better and improve your organizational capabilities. Our billing center professionals have expertise in submitting clean claims and in managing denials so that you get paid more quickly and at a higher success rate.
Services we provide at the billing center include:
Order Review – Incomplete and/or incorrect orders cost you both time and money and can negatively impact patient satisfaction. By reviewing your patients' orders, we provide regular guidance allowing for the implementation of corrective actions and assist you in ensuring you are billing items in accordance with payer guidelines.
Electronic Claims – We process your claims electronically using our Caretinuum software application in conjunction with the leading national clearinghouses. In addition to electronic claim submission, Caretinuum allows for on-screen management of claim batches and facilitates the clearing of billing holds that would prevent the submission of your claims.
Patient File Maintenance – Accurate and reliable record-keeping is vital to the success of HME organizations. We maintain detailed records of your patients, including information on orders, payers and authorizations.
Claim Status Inquiry – In checking the status of your claims, we are able to know where a claim is in the process and any reasons for delay. We utilize this information to improve operations and accelerate payment for your transactions.
Posting of Cash – Receiving payment for your products and services in a timely manner is crucial to the viability of your company. We process remittances (electronic and traditional) to ensure that payments are posted to your account in an expeditious and accurate manner.
A/R Research – Effectively turning receivables into payments requires a special set of skills. Our billing experts perform the research and take the actions necessary to clear impediments and reduce your level of receivables.
Denial Resolution – Denied claims represent lost revenue. We examine reasons for your claim denials and make the adjustments that are required to allow for resubmission. Additionally, research into reasons for denials helps provide information needed to proactively minimize the future occurrence of denials.