REFUNDS PROCESSING

PROCESSING VOID AND STALE DATED PATIENT AND INSURANCE REFUNDS.

Who wouldn’t want to have a credit balance on their books? However, a Credit Balance for the Healthcare provider can pose serious risks and become a liability if not managed well. Why so?

We deal with Credit Balances expeditiously when it comes to deciphering, processing and posting refunds or making account corrections, which is the key to protect revenue cycle integrity. A Credit Balance is not ‘extra cash’ or an asset for the healthcare provider. It means that you actually lit the fuse and it can go off anytime damaging your reputation and corroding goodwill if not managed through an effective A/R process.

It is the fiduciary responsibility of the provider to manage this risk. Almost 55% of credit balances are due to incorrect postings as per data available on the industry. Misuse of debit codes, wrong adjustments and credits that are processed erroneously are quite challenging to clear. QWay establishes a strong working relationship with clients in order to process their credit balances in a timely fashion and reduce the backlog.

DOWNLOAD BROCHURE

resolve-Credit-Balances

The team at QWay is comprised of professionals who have strong analytical skills with experience in hospital accounting standards and norms. Our cohesive working model with clients, and internal processes enables in resolving a higher number of credit balances as an ‘account correction’ instead of a refund. A successful Credit Balance process lies in its effectiveness to prevent it.

 

What we do at QWay to reduce and resolve Credit Balances?

  • Complete analysis of the account along with the EOB
  • Inspect patient liability and other issues on adjustment
  • Check to see if a double payment was made and if so refund
  • Check if there are two Insurance carriers and both are acting as primary
  • Work towards increasing the number of CPAT (Certified Patient Account Technician) credit balance analysts.

COMPLIANCE / AFFILIATIONS

We Respect Rules & Regulations

hippa
HIPAA

Compliance to HIPAA regulation

HBMA
HEALTHCARE BILLING

Robust quality system with stringent controls at highest standards of data security.

tuv-sud-logo
ISO 9001:2015

From Our blog

Quick checklist of pitfalls to avoid in Revenue Cycle Management

An effective Revenue cycle management begins with a set of…

6 Phases of RCM and their role in Hospital Revenues

Hospitals and other health care providers are known for providing exceptional…

5 best practices for successful Revenue Cycle Implementation

Revenue cycle management is a term predominately used in the health industry relating…