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The expertise of our professional staff combined with leading technology gives you a comprehensive revenue cycle management solution that ensures you receive reimbursement faster and nothing is missed.
The Triohm approach leaves no stone unturned when it comes to back-end systems and payers, we understand every step of the billing collections cycle. We keep you in control with performance reporting so you’re aware of every aspect of your practice’s revenue.
Practice staff enters patient appointment, verifies demographic information, and staff is alerted of any amount due at the time of visit including any outstanding balances. With a patient portal the patient has the capability to schedule an appointment and update demographic information before their scheduled visit. Automatic appointment reminders can be sent to the patient reducing no shows, friendly reminding patient that co-pay will be collected and any outstanding balances are noted for payment on visit.
On the day of the visit, the physician simply notes the service and diagnosis codes in the electronic superbill.
With the electronic superbill or integrated EHR, data is automatically transferred electronically to Triohm RCM for billing purposes. Nothing else needs to be done by the physician or staff.
With the electronic superbill or integrated EHR, data is automatically transferred electronically to Triohm RCM for billing purposes. Nothing else needs to be done by the physician or staff.
Triohm RCM transmits claims to various payers for reimbursement through our integrated clearinghouse.
Insurance payments are received through paper or electronic remittance. Once payments are received, they are reviewed; line-item posted to the system, compared against fee schedules, and then balanced. Triohm RCM reimbursement specialists post, review, research, correct, and reprocess or appeal any denials. This is performed at the time of payment posting to help ensure correct reimbursement.
Even when a claim is paid, patients often carry a second insurance, requiring the balance from the primary claim to be submitted to a secondary payer (and then sometimes to the patient after that). Even on a perfectly clean claim, it can take multiple claims or patient bills to get you paid appropriately. Triohm RCM takes care of all this for you without disruption.
Triohm RCM performs all patient billing and follow-up functions for your practice. Patients are sent a series of easy-to-understand statements. Should the patient fail to respond, a letter or call sequence is initiated to obtain payment. Patients are provided with a toll-free number to call with any billing questions. These calls come to Triohm RCM and answered as your billing office.
Triohm RCM conducts an advanced process checking that every patient seen has been billed, every procedure is accounted for, every dollar balanced, and every outstanding claim gets followed-up.
Even though a practice may submit a perfectly clean claim to an insurance payer, there is no guarantee that it will get paid, or that it will even be acknowledged with a denial. We have a system to aggressively detect unpaid or misadjudicated claims. We determine when an outstanding claim should be brought to the attention of the Triohm reimbursement specialists for active follow-up. We know you worked hard to earn your money and we work hard for you to add more money to your bottom line.
Once an outstanding claim has been identified as past due, we proactively review the claim history and follow-up accordingly. This usually means making calls to the various payers and getting into the details required to get the claim paid, we do not accept the check-is-in-the-mail response.
You receive summary reports that provide snapshots of key performance indicators as well as end-of-month reports.
