Billing:
Facilitating Faster Compensation Without The Frustration

Capitalizing on the momentum of our world-class transcription and coding services, the billing component of our end-to-end revenue cycle solution utilizes state-of-the-art technology to get your claims out the door quickly and correctly. Our normal turnaround from charge entry to billing claims is just 24 hours.

GENASCIS prepares, edits, delivers and tracks each claim electronically (where allowed by payer). We submit claims to all third-party payers, governmental and commercial, and we effectively manage private pay and workers’ compensation processes on our clients’ behalf. Our capacity for handling both in-network and out-of-network claims with skill and precision sets us apart. Utilizing proprietary technology to automate the process at critical junctures, our knowledgeable billing staff can effectively decrease your DSO (Days Sales Outstanding) and increase cash flow.

Claim Submission Process

Charges are accumulated and entered for coded services. These charges are based on “Super Bills” established for each facility and include time, supplies and materials to calculate specific revenue charges. Once the charge capturing process is complete and quality approved, our system generates a claim for processing.

Claims are electronically edited and corrected by our staff based on their area of reimbursement expertise, e.g., Medicare, Medicaid, commercial, workers' compensation, etc. Claims are then scrubbed and transmitted electronically, or printed and mailed when necessary. Paper claims include all attachments required for reimbursement.

Claim Follow-up

Upon submission, the follow-up process is initiated. GENASCIS has established guidelines for follow-up that allow our staff to work the appropriate claim at the proper time. To expedite our follow-up process, we implement electronic work queues that are driven by account status to enable prioritization of work.

For out-of-network claims, our staff is trained in four distinct levels of appeal to obtain maximum reimbursement for our clients. If we believe that there are dollars still to be collected, our billing team will work relentlessly to recover the full amount that you’re due.

For denied claims, we employ proven denial management techniques designed to both gain claim acceptance and identify the denial cause. This information is furnished to clients in an effort to improve future first-time acceptance rates.

Payment Processing

If the payer supports ERAs (Electronic Remittance Advice), individual claim payments are electronically posted in the GENASCIS Billing System. Paid amounts are checked against the allowed amount for in-network claims, which is built into the allowable fee schedule. Corrections and appeals may then be completed and secondary or tertiary billing is immediately initiated.

  • Eliminate headaches associated with recruiting and managing billing office staff
  • Avoid compliance issues and the task of staying current with constantly changing governmental regulations and procedures
  • Improve the accuracy of first-time claims
  • Fast turnaround time reducing AR days
  • Development of clear communication protocols
  • Transaction codes reviewed prior to submission
  • Insurance benefits reviewed prior to submission
  • Smarter billing based on acknowledged payer contracts
  • QA demographics and payer information
  • Separation of billing function and payment posting
  • Faster submission of secondary claims
  • Daily tracking of cash flow
  • Accurate posting of payments
  • Methodical follow-up on aging accounts
  • Expedite the transition from billing to collections when both services are handled by GENASCIS
  • Electronic claims submission and follow-up management
  • Expertise in billing both in-network and out-of-network claims
  • Optimization of chargermaster for your facility
  • Systemic application of multiple procedure methodology
  • Pre-submission insurance benefit verification
  • Sophisticated implant/supply billing
  • Automated claims tracking and statusing
  • Lockbox services for payments received
  • Posted payments and collections logs submitted daily
  • Follow-up conducted via phone and online
  • Follow-up events documented in detail
  • Patient statements issued daily
  • Seamless integration of coding and billing from a single-source