Transaction Entry
Cash posting is a process by which payments received from insurances, patients and other entities, towards settlement of claims, respective claims / patient accounts..
Timely posting of payments should be done, to give real picture of status of practice to providers.
Posting of the details contained in the EOB.
Should post the relevant payment in the appropriate patient’s account.
Making sure received ERA’s posted appropriately and if any mismatch for received and posted, will figure out and post the payment for appropriate patient account
Any partial payment / overpayment status needs to be updated and needed corrective action to be performed.
Initiate the process for the denied claims.
Patient pay posting:
Patient responsibility includes co-pay, non-covered services, and deductible.
Received sum should be tallied appropriately in the patient account. In case of meagre patient responsibilities, providers marks a cut off to be write offs, should be properly adjusted to show nil balance. All the transaction made through card / checks should be tracked and accounted.
EOB filing or scanning
Manual or Electronic Payer Interface Posting
Denial posting and processing
Reconciliation
Credit Balance Process
Secondary Claims process
TriRCM works on the denials (clinical, technical as well as short-payment denials) immediately after posting is completed.