Payment Posting & ERA Reconciliation

A Guide to Payment Posting and ERA Reconciliation Services by NexCure LLC

The complex world of healthcare revenue cycle management requires a timely and accurate posting of payment and Electronic Remittance Advice (ERA) reconciliation which is a foundational block to a financially sound and efficient process.
Our company, the NexCure LLC strives to provide precision, automation and proactive management in payment posting and ERA reconciliation so that healthcare providers will have time to focus on their core mission: providing top quality patient care.

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    Why Payment Posting and ERA Reconciliation is Important?

    Payment posting does not only imply entering data but it is the foundation of revenue cycle. It includes all the payments received by insurance companies through ERAs and EOBs (Explanation of Benefits) as well as the direct payments received by the patients. The correctness of this procedure has far reaching consequences

    Inflated Accounts Receivable

    Due to erroneous posting of payments, accounts receivable can go out of control and it would become hard to determine the actual financial condition of an organization

    Duplicate Billing & Patient Dissatisfaction

    Incorrect posting of payments may lead to duplicate billing, which is an unnecessary confusion and dissatisfaction to patients.

    Hidden Denials and Underpayments

    These may not be identified without the tracking as underpayments and denials may be substantial and affect the financial sustainability of your practice.

    False Revenue Information

    Inaccurate posting may distort the revenue reports causing the improper financial decisions to be made on the basis of the wrong information.

    NexCure LLC takes these challenges squarely and provides solid solutions that help improve the financials and simplify operations.

    Our Services

    Our ERA Reconciliation Services & Payment Posting Services

    Our services include a comprehensive package of payment posting solutions that are carefully crafted to fit in your systems perfectly. The services we provide are:

    What we Serve

    • ERA Download and Processing: We safely obtain and process ERAs received through clearinghouses, ensuring each electronic remittance is accurately posted to your billing system.
    • Manual Entry of Non-Electronic EOBs: Our staff manually enters data from paper EOBs, ensuring no transaction is left unrecorded.
    • Patient Payments: Payments made through online portals, front desks, or mail are promptly handled and posted into your system without delay.
    • Cross-Verification: Every payment is cross-checked against billed charges to maintain data integrity and prevent errors.

    What we Serve

    • Accuracy in Handling Denials: Denied claims are posted with the correct denial codes, reasons, and categories, ensuring quick and effective handling.
    • Root-Cause Identification: Extra tagging enables easy identification of root causes, allowing timely corrective action to be taken.
    • Workflow Integration: Seamless workflow integration with denial management streamlines follow-ups and resubmissions for faster resolution.

    What we Serve

    • Comparison: Our system automatically compares posted payments with contracted allowable amounts and flags any discrepancies.
    • Trend Analysis: Identifying trends in underpayments and overpayments helps in proactive payer negotiations and informed policy adjustments.
    • Refund Procedures: When overpayments are identified, refund procedures are promptly initiated to maintain compliance and trust.

    What we Serve

    • Audit-Ready Reconciliation: Our auditor-ready reconciliation process matches ERAs to relevant claims, ensuring payments align accurately with remittances.
    • Discrepancy Resolution: Timely identification and resolution of missing or duplicate payments to maintain financial accuracy.
    • Payer Coordination: Proactive communication with payers to resolve mismatched or lost payments efficiently.

    What we Serve

    • Auto Triggering: When a primary insurance payment is posted, our system automatically triggers the posting of secondary or tertiary claims.
    • Correct Adjustments: Appropriate adjustments are made for patient responsibility, coordination of benefits, and timely filing limits.
    • COB Handling: Coordination of Benefits (COB) is managed accurately to ensure compliance and maximize reimbursement.

    What we Serve

    • Determination of Liability: Co-pays, deductibles, and coinsurance are accurately defined using EOBs and payer contracts.
    • Tracking of Payment Plans: Patient payment plans are tracked and integrated with patient portals for transparency and ease of access.
    • High Balance Follow-Up: High patient balances are flagged for timely follow-up and effective collection efforts.

    What we Serve

    • Extensive Reporting: Detailed summaries of payments, trends, and reconciliation statuses are provided for complete financial visibility.
    • Deposit Report: Stay informed of financial inflows through comprehensive daily deposit reports.
    • Personalized Dashboards: Custom financial dashboards offer actionable insights to enhance and optimize the revenue cycle.

    The NexCure LLC Way to Excellence

    Excellence is a characteristic that we have placed in all our service delivery processes.
    This is a summary of our organized, lean process:

    Data Acquisition

    1. Safe access to ERA/EOB files on clearinghouses or payer portal.
    2. Up to date front-desk collection and patient payments.

    Payment Matching

    1. Comparing payments with individual claims, CPT codes, and charges billed.
    2. Recognizing discrepancies, denials and partial payments.

    Posting & Adjustments

    1. Posting payments, adjustments, patient responsibility and write-offs.
    2. Denying and underpaying tags and using them as the basis of analysis.

    Reconciliation

    1. Matching the deposits in payment with the bank & practice management.
    2. Identifying and fixing the differences promptly.

    Reporting & Communication

    Sending practice-specific reports to your practice. Creation of a constant feedback loop to make improvements.

    Quality Review

    1. Internal benchmark-based and payer contract-based compliance review.
    2. Two-tier QA to be 100 percent accurate.

    12

    Years Of Experienced in Medical Services

    The NexCure LLC Advantage

    By selecting NexCure LLC as management partner,

    Collaboration between NexCure LLC and the company has a lot of benefits:

    More timely and accurate posting enhances the revenue cycle, which leads to a quicker secondary claim and resolution of denial

    Do away with manual work to match EOBs as well as reconcile payments and instead use the staff to perform value-added tasks

    Our stringent two-layer verification method ensures that precision is achieved, and it prevents missing out on opportunities and gaps in accounting.

    Being able to access daily, weekly and monthly reports gives a totally transparent view of the financial performance and problems not sorted out.

    Our staff follows high data security standards, which makes patient and financial data safe.

    Customized services to individual providers, group practices, ASCs, FQHCs and beyond with support on major EMR and PM systems such as Athenahealth, Kareo, eClinicalWorks, AdvancedMD, NextGen, and PracticeSuite.

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    Are You Ready to Optimize Your Payment Posting?

    At NexCure LLC we are convinced that we can change the revenue cycle experience of healthcare providers. Our knowledge and sophisticated instruments allow practices to attain financial transparency, operational effectiveness and sustainable growth. We will relieve you of the stress of payment posting and reconciliation so that you can concentrate on the core business; superior patient care.

    What Makes NexCure LLC Special?

    Veteran Team

    Educated to know payer-specific instructions and specialty-related peculiarities.

    Advanced Tools

    Compatible to be connected to the majority of the billing platforms and clearinghouses.

    Commitment

    Customer account managers and on-hand support teams

    Process Automation

    AI can involve the use of automation to minimize errors and decrease the time spent processing.

    Clear Prices

    No fancy terms; it is priced per your volume of work and extent.

    Are You Ready to Optimize Your Payment Posting?

    At NexCure LLC we are convinced that we can change the revenue cycle experience of healthcare providers. Our knowledge and sophisticated instruments allow practices to attain financial transparency, operational effectiveness and sustainable growth. We will relieve you of the stress of payment posting and reconciliation so that you can concentrate on the core business; superior patient care.

    Call NexCure LLC today to find out how we can help your practice become financially successful. With that, we can create a more robust and stronger healthcare ecosystem.

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      Client Testimonials

      What Healthcare Providers Say About Us

      "Working with NexCure LLC has been a relief for my clinic. They took care of my credentialing process from start to finish, no delays, no confusion. I also like how they keep up with CMS quality programs and explain things clearly. Honestly, they’ve made my life much easier."

      Dr. Ayesha Rahman, MBBS

      "Before NexCure LLC, our billing was a nightmare — denials, delays, you name it. Their team stepped in and fixed our revenue cycle quickly. What I appreciate most is their guidance on MIPS reporting; they walked my staff through the requirements and we’ve already seen the results. Dependable and professional."

      Dr. James Whitman, MD

      "The attention to detail at NexCure LLC is impressive. They helped us get credentialed with several payers and made sure everything stayed compliant. Their support with HEDIS reporting boosted our scores, which directly benefited our contracts. I’m grateful for their hard work."

      Dr. Maria Gonzalez, MD

      "I’ve been very satisfied with the services from NexCure LLC. They keep me updated on payer rules and compliance, which is something many billing companies overlook. My billing cycle is smoother now, and their assistance with MIPS reporting has been a real plus. It feels like they are part of my team."

      Dr. Omar Al-Farouq, MD

      "Our practice needed someone who really understood billing and coding. NexCure LLC improved our collections and made the whole process less stressful. They’re straightforward, easy to reach, and they actually deliver on what they promise. I recommend them without hesitation."

      Dr. Alejandro Ramirez, DO
      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

      Book Consultation

      (929) 587-3833

      Email address:

      Info@nexcurellc.com

      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

      WhatsApp:

      (929) 587-3833

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