Phoenix & York provides a wide range of Revenue Cycle Management (RCM) services to Hospitals, Physicians and Medical Billing companies. Our goal is to help you maximize reimbursement and reduce expenses.

Medical Billing
Our medical billing service portfolio includes charge entry, analysis, payment positioning and collections.

Charge Capture

• We process charges in conformity to state and specialty rules
• Our medical billing experts are trained in regulations associated with Medicare, Third Party Liability, Indemnity Insurers, Medicaid, Managed Care, Workers Compensation, Preferred Provider Organizations
• We carry out multi-layered Internal Quality Assurance to ensure the high quality output.

Payment Posting

• Accurate balancing of daily deposits
• Immediate attention to denials and submission of secondary claim reports on a daily basis
• Analysis and implementation of corrective action in case of partial payments

Account Receivables Management
Our Accounts Receivables Management services include:

• Hospital Billing    
• Commercial Insurance Follow-up    
• Cash Posting Assistance    
• Receivables Analysis and Denials Management

Account Receivables Follow-up
We identify claims that require follow-up with Insurance companies and take the necessary action to collect unpaid and partially paid claims.
Our Account Receivables Follow-up Services include:

• Payer/Insurance Follow-up    
• Self-pay Follow-up    
• Receivables Analysis    
• Denials management

Medical Coding
Phoenix & York offer accurate medical coding services that are HIPAA-compliant. We specialize in ICD-9, CPT, HCPCS outpatient (physician) coding for the CMS-1500 form. We provide US certified coders onsite inside the hospital and also provide FTE’s in offsite or at offshore.

Eligibility & Benefit Verification
Phoenix & York provides solution consists of deploying staff, technology, management and expertise with the objective of delivering high quality cost effective patient insurance eligibility and related services.

Eligibility Verification Services

P&Y's Eligibility Verification services

• Improve A/R cycles (reduce A/R days)   
• Increase cash collections by reducing write-offs and denials

Our Approach to Eligibility and Benefits Verification

We receive schedules from the Hospital via EDI, email or fax. We

• Verify coverage on all Primary and Secondary (if applicable) Payers by utilizing sites like WebMD, Payer Web Sites, Automated Voice Responses and phone calls to Payers   
• Contact patient for information if necessary   
• Provide client’s with results for eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more