Revenue Cycle Management

Revenue cycles are increasingly complex and challenging. Each step needs to be perfectly executed before moving on to the next. Even a small hiccup can bring your cash flow to a screeching halt. By leveraging best practices we’ve developed over our decade in business, Aspire Medical Billing ensures your billing lifecycle is set up for maximum revenue collection.

What do our services provide for you?

  • Eligibility Verification
  • Billing and Claims Processing Management
  • Comprehensive Claim Follow-Up
  • Medical Record Submission and Follow-Up
  • EDI Enrollment System Training and Support

Our consultants will provide meaningful feedback to:

  • Maximize Collections
  • Optimize Cash Flow
  • Decrease Collection Cycle Time

Billing and Claims Processing Management

Our electronic claim submission system allows processing to begin within as little as 24 hours. Strategic consultative feedback keeps our service on the cutting edge of claim processing technology advancements, as well as updated insurance laws and regulations. Our processing management services include:

  • Electronic claim submissions
  • Claims denial templates for fast turnaround in the appeals process
  • UB04 & HCFA-1500 billing
  • Payment posting and customized reporting
  • Dedicated Client Success Manager

Comprehensive Claim Follow-Up

Our dedicated follow-up and customized service distinguishes Aspire HCS from the competition. Other medical billing services concentrate primarily on initial electronic claim filing because it is the easiest to collect. At Aspire, this is just the beginning. Our dedicated follow-up includes:

  • Follow-up on unpaid claims
  • Denial resolution and appeals
  • Insurance inquiries and medical records
  • Continuous Billing cycles for patients
  • Resolving past due claims
  • Managing collections
  • Patient Collection Letters
  • Patient statements and Optional Patient Portal

Verification of Benefits

Verification of Benefits
Because insurance plans vary widely and insurance companies routinely modify their submission criteria, providers face the difficulty of navigating this complex web and recording the most accurate information with which to make admission decisions.

Aspire’s team of verification professionals is experienced in the verification process and strives to produce the most accurate verifications with a quick turnaround. This empowers the provider to make informed admission decisions and enables them to maximize their collections for services provided.

  • Increases cash flow
  • Decreases collections cycle time
  • Reduces collections related costs

Utilization Review

Our Utilization Review department has extensive industry knowledge and experience in advocating for your patient to achieve a maximum length of stay. Aspire thoroughly and accurately provides this information, which results in a greater amount of authorized services and ultimately, higher revenue for the provider. Outsourcing Utilization Review to Aspire Medical Billing eliminates your stress, allows you to focus on patient care and positive outcomes.

  • Maximizes the number of days authorized
  • Empowers the provider to maximize services billed
  • Improves patient satisfaction and well-being
  • Thorough understanding of admission and continued stay criteria

Client Success and Professional Services

  • Open and Transparent Communication. A dedicated member of our team will be assigned to you and serve as your main point of contact so no question ever goes unanswered.
  • Relationship-Focused. The relationship that we build, maintain, and nurture with each one of our clients is at the core of our business.
  • Advocacy. We advocate for you and for your business, to ensure that there are no gaps in performance.
  • Strategic Partnership. Two is better than one. We work as. team to ensure that we are optimizing the management of your revenue cycle.