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DSO RCM Checkup
5 Quick Questions to Assess the RCM Health of Your DSO
1. What percent of your remittance comes back via your clearinghouse to your physical office or lockbox, versus web portal?
>95% of remits come from my clearinghouse
75-95% of remits come from my clearinghouse
50-75% of remits come from my clearinghouse
25-50% of my remits come from my clearinghouse
<25% of my remits come from my clearinghouse
2. What percent of the 835Ds that you receive from your clearinghouse auto-post successfully without human intervention?
>95% of my clearinghouse 835Ds post without human intervention
75-95% of my clearinghouse 835Ds post without human intervention
50-75% of my clearinghouse 835Ds post without human intervention
25-50% of my clearinghouse 835Ds post without human intervention
<25% of my remits come from my clearinghouse
3. For the remittance that doesn't come from your clearinghouse, and you receive as an EOB image, how do you post it?
We built a proprietary tool to convert EOBs into 835Ds
We partnered with a FinTech firm to convert EOBs into 835Ds
We outsource EOB posting to a third-party firm
We have our internal staff post EOBs manually
It varies based on the situation
4. When you post remittances, how do you ensure that it is reconciled and funds have been received at the bank?
We built a proprietary reconciliation tool to match remittance to bank deposits before posting
We partnered with a third-party firm to reconcile and match remittance to bank deposits before posting
We outsource posting and reconciliation to a third-party firm
We have our internal staff reconcile against spreadsheets pulled from the bank
We do not reconcile prior to posting
5. How do you find and work payer correspondence letters, like eligibility rosters and predeterminations?
We have a lockbox service that scans our mail and indexes the documents into work queues for our staff to work
We have a lockbox service that scans our mail, but our staff then indexes and sorts the documents into work queues
We receive all of our own mail in separate locations and mail it to a centralized location (or upload it), where our staff scans, sorts, and assigns it to the right work queues
We receive all of our own mail, and it is stored onsite in filing cabinets
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Contact MediStreams
Toll Free:
(866) 836-2835
Local:
(678) 397-1540
Address:
1230 Warsaw Road
Roswell, GA 30076
Email:
[email protected]
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