Total INSIGHT RCM Policies
The Clinicient Revenue Cycle Services team is dedicated to delivering best-in-class RCM services for our Total INSIGHT customers. Through our experience in processing hundreds of thousands of claims monthly, we’ve learned that success starts with teamwork and a close working relationship with our clients.
To ensure everyone is working from the same playbook, it's important that Total INSIGHT customers are aware of and fully understand the key policies and procedures that can have a significant impact on accounts receivable and revenue. Following these policies can help us work more effectively as a team to minimize denials and get your practice paid what you’ve earned more quickly.
Please review each of the policies listed below and make sure you and your staff are following the steps outlined in each policy.
RCM Policy |
Description |
|
|---|---|---|
| Balances in Litigation | Reviewing Motor Vehicle Accident, Workers Compensation, or Letter of Protection balances | View Policy |
| Credentialing Denials | Credentialing and adjudication of credentialing errors | View Policy |
| Medicaid Secondary to Medicare | Identifying Medicaid denials that are secondary to Medicare | View Policy |
| No Authorization | Reviewing denials received from a payer due to no authorization on file | View Policy |
| Non-Covered Services | Processing non-covered services denials | View Policy |
| Verification of Benefits | Verifying patient benefits and reviewing denials related to benefits | View Policy |
| Secondary Balances | Processing aging secondary payer claims | View Policy |
| Claims Paid Unreported/Not Posted | Identifying payments received but not reported by the client | View Policy |
| Deposit Reporting | Reporting all payments received/collected by the client | View Policy |
| Write Off Policy | Ensuring the proper procedure is utilized when removing uncollectable accounts from the accounts receivable balance. | View Policy |
