Fertility Clinic Billing
Master The Complexities Of Fertility Clinic Billing
& Improve Your Revenue
Elevate your Fertility Clinic’s billing With Expert Solutions
Fertility clinic billing involves a complex system of diagnoses and procedure codes for the services provided by fertility specialists and gynecologists. These specialists need to accurately report their services that justifies the reproductive and medical billing and coding. Treatments in these services can range from simple interventions such as fertility drugs to induce ovulation to more complicated functions such as artificial insemination or IUI sperm injections and in vitro fertilizations (IVF). Billing for these procedures requires a deep understanding of coding which is aligned with specific procedures. It also requires a comprehensive understanding of the payer-specific regulations and adequate clinical documentation.
Unbeatable Service, Quality & Price
Challenges
Challenges in Fertility Clinic Billing
High overhead costs: Fertility clinics have quite large overhead expenditures including specialized equipment purchases or providing extensive training to new employees. When faced with large expenses and the prospect of delayed or denied payments, proper revenue cycle management can be difficult.
OUR PROCESS
Our Fertility Clinic Billing Workflow
At RCM Workshop, we are working with experienced and professional billers who are equipped to handle all your billing needs, ensuring timely and accurate payments for the services rendered. Our expert billers have extensive experience in fertility clinic billing intricacies to manage the entire revenue cycle of your practice. We ensure accuracy in all facets of fertility clinic billing, starting from insurance verification, obtaining prior authorization, managing denials and appeals, and AR follow-up to patient collection. Our impeccable quality services ensure minimized denial rates and enhanced revenue.
Our Fertility Clinic billing workflow is built on industry-standard RCM best practices and adheres to a defined process management framework, providing our clients with frequent updates on the results at each billing stage. Our analytics driven platform allows us for real-time monitoring, giving insights into key revenue cycle metrics such as days in AR, denial rate, and payment velocity. Our metrics driven reporting tool helps us to monitor our performance closely and identify bottlenecks that create hindrance in getting timely payments.
Scheduling & Registration
Carry out well-coordinated appointment scheduling, update insurance details and handle inbound and outbound calls from/to patients.
Eligibility & Benefits Verification
Confirm patients’ primary and secondary insurance and verify their benefits coverage, co-pays, co-insurance, and deductibles.
Prior Authorization
Medical Coding
Charge Posting
Claims Edits & Submission
Payment Posting
Denial Management
AR Management
Patient Collection
BENEFITS
Outcomes guaranteed
Outsourcing fertility clinic billing to us will ensure that your practice is at the forefront of regulatory and federal guidelines for ART procedures and infertility coverages, resulting in a much improved financial outcome for you. We use industry best practices that not only maximize revenue but also ensure steady cash flow and reduced overhead costs.
Efficient Benefits Verification
>99% clean claim submission
Efficient authorization management
<24 hours turn-around time
Efficient Coding and Code Review
Efficient processing for flawless financial records.
Efficient denial management
<5% claims denials
Proactive accounts receivable follow-up
<40 days AR & reduced aging
Better coordination & process optimization
improved patient satisfaction