We offer an entire gamut of medical billing and coding services that include
Fee Schedule Review and Analysis
Eligibility and Benefit Verification
Assistance with Provider Enrollment
Electronic and Paper Claims Submission
Account Receivables Management
Insurance Billing
Patient Calls
Old Account Receivables Recovery
Authorization Request and Tracking
Charge Entry – All Specialties
Posting of Insurance and Patient Payments
Extensive Insurance Follow Up
Patient Statement Processing and Mailing
Denial Review and Management
Appeal of all Denied or Low Paid Claims
Management Reports
Revenue Management process
Patient Registration
Patient Eligibility
Coding
Charge Entry
Claim Submission
Payment Processing
Patient Billing
Collection
Coding functions
Retrieve Medical records or access the clients EHR.
Pre-coding to check and validate the correctness of information.
Review the records by certified coders and assign appropriate procedure & diagnosis codes by using CPT/HCPCS and ICD-10-CM manuals.
Complete audit of the coded documents by our QA team.
Batch completion reports sent to the client.
Billing functions
Electronic claims can be submitted in real time directly to a clearing house.
Claim status can be tracked, and claims can be scrubbed before they are submit to payers.
Payments can be posted automatically to expedite the billing cycle.
Key reports can give important insights on both a macro level (e.g. the profitability of your business), and a micro level (e.g. the profitability of a particular procedure), and help practices stay apprised of key RCM indicators.
Account Receivables management (AR)
Claim status
Denial Analysis.
Appeals and Resolution.
Patient statements.
Providing customer care service.
Patient calls.
Collection letters.
Patient refund.
Transition to collections.
Revenue cycle activities
Insurance Follow-up: Days since follow-up activities.
Payment Posting: Transactions posted per day
Refunds: Refund processed per day
Inbound calls
Total rcm Solution
Increases revenue and profitability.
Stabilize cash flow and/or improve cash management.
Reduces / eliminates software expense.
Reallocate billing department space.
Zero ICD 10 errors.
Professional billers and certified coders maximizes reimbursement.
Reduces days in A/R.
Reduces salary and benefits expense.
Substantially increases revenue without increasing patient encounters.