Payment posting and charge integrity with documented reconciliation
Revyn supports the payment, charge, credit-balance, refund, and reconciliation workflows documented in scope, with exceptions routed to the appropriate practice owner.
What does payment posting and reconciliation cover?
The workflow can include ERA/EOB and patient-payment posting, deposit and clearinghouse reconciliation support, and underpayment or short-pay exception flagging. Data sources, timing, approvals, and unresolved variances are defined in scope.
How does charge review identify missing or inconsistent items?
Charge review can compare the available schedule, documentation, charge record, and claim workflow to identify missing or inconsistent items for qualified review. A charge should be added or changed only when the documentation and applicable rules support it.
Why does credit-balance resolution matter?
Credit balances require investigation to determine whether a payer, patient, or another party may be owed a refund and whether reporting or repayment requirements apply. The workflow should document validation, approvals, timing, and the current program-specific rules.
Payment Posting & Charge Integrity — frequently asked questions
Can payment posting be scoped as a standalone service?
Payment posting and reconciliation can be scoped separately after the payment sources, systems, timing, approvals, exception handling, and reporting responsibilities are confirmed.
Can Medicare credit-balance work be included?
Identification, validation, reporting support, and refund workflows can be included after responsibilities, approvals, data, and current Medicare requirements are confirmed. Qualified legal or compliance guidance may be needed for specific obligations.
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A scoped review of revenue-cycle data, workflows, denials, A/R, coding, and contract inputs with prioritized actions.
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Define the operating model, compare evidence, and confirm pricing structure before changing billing workflows.
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Start with a free billing review focused on denial patterns, A/R aging, front-end issues, workflow ownership, and where Revyn may fit.