Our experienced billing and coding teams know the way to manage the claims with flawless Do’s and Don’t’s, exact coding, timed and complete billing - so as to earn maximal reimbursement and maintaining your clean claims.
We offer a comprehensive end-to-end medical billing services including, but not limited to Insurance Verification, Patient Entry, ICD-9/ICD-10, coding; demo and charge entry, claims transmission, payment posting, AR analysis, Denial management, Reports etc.
Claims are submitted within 24 hours of service.
Some of the value adds and benefits with our services include immediate closure of paid claims as well as appeal of denied claims, correction of missing patient details, preparing electronic attachments when needed, correction of procedures separated to insurance claims, daily analysis of insurance aging reports, etc.
Daily charges are posted in to client’s Billing system with in 18 hrs of receipt.
Claims are submitted on the same day the charges are posted in PMS system.
Prompt resolution of EDI claim rejections with in 24 hrs from claims transmission date and resubmit corrected claims.
Report to client on any unresolved EDI claim rejections pertaining to provider and patient registration issues.
Same day payment posting & reconciliation in to client’s Billing system with in 18 - 24hrs.
Increase the probability of payment through timely follow-up on accounts having possibilities for delay in payments and take corrective actions to resolve these claims.
Delivery Model that not only accelerates your cash flow, but also reduce Days in A/R and also improve Collection Ratio.
Ability to work on scanned images as well as Electronically Submitted Demographic Sheets.
Ability to accurately process insurance Information (selecting appropriate insurance details.
Our people access the information via the Server (or directly from Software Screen as the case may be) and enter information directly into the client software
Daily Deposits are balanced accurately & tallied to every penny.
Status reports are available online 24/7.
Denials are analyzed & worked on immediately and corrective actions are taken to resolve in claim payment.
A report is run on the prominent denials received these are then researched and resolved.
All secondary claims which are not crossed over electronically are printed and submitted with a copy of Primary EOB.
We process charges for all specialties with good appropriate state and specialty rules.
We have the ability to put in place Effective Charge Control Measures including Hash-Total Matching or Software based Batch Control.
We perform internal Quality Assurance.
Patient Follow–up & Collections
Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect outstanding balances.
Knowledge of Fair Debt Collection ACT.
Monthly Statements are sent.