Revenue Cycle Management
At Manifest we provide a wide range of healthcare back-office services. From appointment scheduling, scribing, medical coding, prior authorizations, charge entry and payment posting to AR/Follow UP, we have you covered. Our experienced revenue cycle management team is here to make sure that your operations are seamless, and your reimbursements are on an upwards trajectory.
Medical Coding
We have a team of Certified and Experienced Professional Coders to provide you with complete medical coding services along with updated coding guidelines. With command over accurate use of ICD, CPT Codes and modifiers our coding team makes sure that you are billing with maximum accuracy to avoid and minimize chances for payers to request additional documentation or deny claims for coding related issues.
Claim Scrubbing
Our Billing team is expert and trained to scrub the claims for any errors to make sure clean claim submission. This helps in avoiding unnecessary rejections and denials. Our clean claim submission accuracy is over 95%. Any rejections are corrected and resubmitted on the same day.
Prior Authorizations
Our prior authorization team specializes in the process for individual physicians, hospitals, laboratories and Surgery Centers which can be hectic, time consuming and laborious for your office with limited staff. This is where our team is helpful and experienced to take over. We provide services from initiation of prior authorization through to the approvals within a quick timeframe.
Eligibility & Benefit Verification
Insurance verification is a time-intensive process and requires minute attention to detail. Our team can ensure you accurate insurance verification services. Benefit Verification is equally important as it provides you an upfront profit estimation. Our team works with the patient schedules of different facilities to keep them covered for timely managed eligibilities and offhand benefit verification to keep the bases covered.
A/R Follow Up
Practices with less AR are considered to have better cash flows than the ones with high outstanding numbers. Our well versed and multispecialty trained team can take on AR of any facility and any size and make a difference in a very short time to streamline the cashflows and get those old aged claims paid in a quick time frame.
Denial Management
We don’t just have the AR executives to fix the denials, we have the best RCM experts that not only resolve the denials, but they go an extra mile to find the root cause and eliminate it once and for all.
Patient Collections
Studies show that patient collection costs medical practices one-third of their revenue. We make sure that you're not one of them. The scheduler makes it very clear if a patient's copay has been paid or not. The most recent patient balances are shown on the check-in screen, which helps practices collect at check-in or check-out. Patients also receive automated due balance statements via email or text reminders periodically to pay their due balance.
Credentialing and Enrollment
Our Provider Enrollment & Credentialing team assists you in registering or renewing a provider, maintaining demographics, reviewing payer contracts, Hospital and surgical center privileges, and obtaining CAQH attestation, helping contract laboratories by staying in touch with payers for open panels. We act as your advocate with insurance networks to complete the payor enrollment and contracting process for your organization and its healthcare providers. Becoming an "In-Network" provider for health plans frequently necessitates the completion of lengthy forms and ongoing communication with insurance companies.
Answering Services
Incoming calls during off hours are important too. Leaving patient calls unattended is not feasible for your business and it can affect patient volume or miss a potential payment for any outstanding patient balance. At Manifest we make sure that your incoming calls are answered no matter it’s day or night.
Patient Scheduling
We will make sure that you have enough patients scheduled for your working hours. We help in scheduling patients with insurances you accept to make sure you are getting paid for each patient you treat. Our professionals are trained to handle patient calls regarding appointment scheduling, refills, lab results and medical records.
Analytics & Reporting
We provide analytical services which go beyond basic reporting, offering a comprehensive suite of tools that empower you to personalize care for improved patient outcomes, predict potential health risks for proactive intervention, optimize operations for increased efficiency and cost savings, and ensure seamless compliance with regulatory requirements. Through detailed reporting and actionable insights, our team empowers informed decision-making, creating a healthier future for both patients and your healthcare organization.
Scribing Services
Physicians spend hours every day with their patients and after those busy hours documenting the progress notes can be cumbersome and that’s most of the times delays the completion of progress notes which results in delayed billing and eventually delayed cashflow. Our trained scribes take care of your progress notes by just listening to your conversation with the patients and all you must do is just review the progress notes and lock them and save your weekends.