Help & FAQ’s
Frequently Asked Questions
About Our Profile?
At AGRG Healthcare, we specialize in providing top-notch medical billing services to healthcare providers. Our experienced team ensures timely and accurate claims processing so that you can focus on patient care
Why is RCM important in healthcare?
RCM ensures that healthcare providers receive timely and accurate payments for services rendered. Efficient RCM reduces claim denials, improves cash flow, and minimizes revenue losses.
How do coding errors impact RCM?
Incorrect coding can lead to claim denials, delays in payments, and potential compliance issues. Proper coding ensures accurate reimbursement.
How can we reduce claim denials?
Claim denials can be reduced by ensuring accurate and complete documentation, verifying patient eligibility and insurance coverage before services, and coding claims correctly. Regular staff training, timely claim submission, and tracking denials to identify patterns also help minimize errors. Implementing a proactive review process before submission is key to improving approval rates.
What is the difference between primary and secondary insurance in RCM?
Primary insurance pays first, covering eligible expenses. If there are remaining balances, secondary insurance may cover additional costs.
How does automation help in RCM?
Automation reduces manual errors, speeds up claims processing, and improves revenue capture by streamlining eligibility verification, coding, billing, and follow-ups.
What regulations impact RCM?
RCM must comply with HIPAA (for patient data protection), CMS guidelines, and payer-specific policies to ensure legal and ethical billing practices.
