At NextLimit, we feel euphoric for prospering our clients with a complete range of credentialing services through a time-tested technique.
Did you know that proper credentialing requires a watchful eye for total and stringent compliance with applicable standards? It also requires the proper evaluation of applicants with respect to their competencies. For this, a number of resources are consulted such as the social, academic and professional history of the applicant, peer and expert reviews, end-user reviews on the quality of the applicant’s services, and more.
At NextLimit, we are fully equipped to take care of all these requirements quickly and efficiently. We approach the subject in an organized and systematic manner. The key steps in our credentialing process are as follows:
At NextLimit, we work with a troupe of credentialing experts who strictly abide by the standards and guidelines entailed within the Medicare Managed Care Manual (MMCM) and National Committee for Quality Assurance (NCQA).
The Billing and Collection team at NextLimit provides the Medicare and Medicaid HMOs with customized and hospitable solutions, commercial Insurance plans as well as PBMs; enabling them to achieve sustainable results. Our certified public accountants and financial analysts manage each process, using our robust data warehouse and state-of-art technology. We are fully equipped and well-positioned to cater all our clients, providing them with sound, full-cycle billing and collection solutions. All of this in an astonishing cost-effective manner.
At NextLimit we have a large team of experienced Customer Care personnel that we take pride in.
The team has persuaded decades of collective experience in the board and is filled by highly skilled Customer Care professionals adept at handling all issues and queries that arise in the line of business.
In addition to that, the team boasts of below one percent call abandonment rate. Thus, we successfully and seamlessly build brand equity with each customer touch point while transforming services into profitable sales.
Finally, most of the members in our Customer Care team are capable of handling a wide range of responsibilities besides performing their routine functionalities. In other words, they often work in telemarketing and sales while working hand-in-hand with our analysts, helping them take prudent decisions and are associated with survey projects on healthcare products.
With so many facilities under one roof, why would you look anywhere else?
Prior authorization (also referred to as pre-certification or pre-authorization) has now become the cornerstone of the administrative functions with the Health insurance policies being on a constant metamorphosis. The in-house team being affected by its complexities, will impact negatively on your practice’s finance. During such cases, be rest assured on us.
NextLimit with its consultative aptitude and state of the art solutions in prior authorization will handle all operational hassles so that you can focus on your care management priorities. We are your one-stop address and the perfect mediators with the Payor, dedicated to help remove all your pre-cert process hurdles that might incapacitate your bottom line. We offer a 360 degree program in practice management with an exclusive skill-set that starts with a synchronized process of patient information collection to availing prior authorization for both inpatient and outpatient services.
We also seek to add value through our ideologies on verification services that remove unpleasant surprises from the path of claims submission and payment, thanks to our proven methodology which can eliminate errors quickly and address issues effectively.
“NextLimit provides you stand alone prior authorization assistance unlike any of our competitors. We believe in laying down the right checks and balances that improves your practice management efforts with our disciplined support.”
Our medical coding and billing services are designed to address a wide range of issues and challenges faced by hospitals and physicians while dealing payments. Our billing process experts can provide customized solutions to help you achieve your business objectives. These solutions not only dramatically improve efficiency in a surprisingly cost-effective manner, but also allow you to focus on the more important aspects of your business.
A thorough understanding of the nuances associated with various physician specialties is required. All claims that have not been closed out in the system are categorized by age and insurance for effective management of the follow-up process. Billings of secondary claims are also followed up to reduce the patient’s financial responsibility while ensuring better collections.
Durable Medical Equipment (DME) or Home Medical Equipment (HME) as they are sometimes called requires in-depth knowledge of reimbursement guidelines of Medicare, Medicaid and Commercial Plans, in case of their billing.
NextLimit has a highly capable team of DME billing experts who can make your workload easier. With NextLimit by your side, you can leave all your DME billing worries to expert care. Outsourcing your DME billing requirements to us will allow you and your staff to concentrate on marketing, growing and running your business operations, rather than focusing on bill management and collections department. Our diligent physicians and payor follow-up activities also help reduce turn-around time and improve cash flow.
OUR COMPLETE APPROACH TO DMEPOS BILLING :
Our Accounts Receivable follow-up process monitors and proactively pursues collection of payments. All claims that have not been closed out in the system are categorized by age and insurance for effective management of the follow-up process.
At NextLimit, every cash amount receives the same degree of attention as the other, irrespective of its size or source. Combine that with our high accuracy standards and you can rest assured that every penny you are entitled to will be claimed and recovered by us in the shortest possible time!
NextLimit also maintains strict adherence to the Fair Debt Collection Practices Act when contacting patients with the aim to collect unpaid dues from them. We understand the need to proactively communicate with patients with regards to collections. It is, therefore, imperative to understand the billing process thoroughly. We acknowledge the need to be respectful and patient while communicating with patient debtors.