Accounts Receivable Management
and Denial Management
Comprehensive Accounts Receivable
Orkatok RCM Services conducts a thorough analysis of accounts receivable to identify outstanding claims, unpaid invoices, and aging accounts. We review payment patterns, payer trends, and denial reasons to pinpoint areas of concern and develop targeted strategies for resolution.
Timely Follow-up on Outstanding
Claims
Our dedicated team proactively follows up on outstanding claims with payers to expedite payment processing. We utilize a systematic approach, prioritizing high-value claims and those nearing timely filing deadlines, to ensure prompt resolution and maximize cash flow for healthcare providers.
Payment Posting and
Reconciliation
Orkatok RCM Services accurately posts payments received from payers and patients into the healthcare provider's billing system. We reconcile payments against billed amounts and insurance contracts to verify accuracy and identify any discrepancies that may require further investigation or adjustment.
Denial Analysis and
Resolution
In the event of claim denials, our denial management specialists conduct a detailed analysis to identify root causes and trends. We categorize denials by reason code, payer, and service type to uncover underlying issues and implement targeted corrective actions to prevent recurrence.
Appeals
Management
Orkatok RCM Services handles the appeals process on behalf of healthcare providers for denied claims. Our experienced team reviews denial reasons, gathers supporting documentation, and submits timely and well-documented appeals to payers, advocating for claim reconsideration and overturning of denials.
Continuous Process
Improvement
We continuously monitor and evaluate accounts receivable performance metrics, denial trends, and reimbursement patterns to identify opportunities for process improvement. Our team collaborates with healthcare providers to implement best practices, streamline workflows, and enhance revenue cycle efficiency over time.
Transparent Reporting and
Analytics
Orkatok RCM Services provides healthcare providers with transparent reporting and analytics to track accounts receivable metrics, denial rates, appeal outcomes, and revenue trends. Our detailed reports offer actionable insights and visibility into the financial health of the practice, empowering providers to make informed decisions and strategic adjustments.
By offering comprehensive accounts receivable management and denial management services, Orkatok RCM Services helps healthcare providers optimize revenue, reduce AR aging, and improve cash flow. Our proactive approach, coupled with advanced technology and industry expertise, ensures timely reimbursement and minimizes revenue leakage, allowing providers to focus on delivering quality patient care.