End to End Medical Billing and soft collections in flat rates. Services include Credentialing, Charge Entry, AR follow up, Denial Management and Reporting
(A) Medical Billing Services includes the following:-
To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.
Create appointments on scheduler while receiving patient calls
Full patient demographics and charge entry
Insurance claims submission (primary, secondary or tertiary)
Accounts receivable analysis with corrective and preventive actions and decision making for Collections
Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)
Patient billing inquiries as per received information from provider office
To check claim status from insurance, websites, auto response unit and via live calls.
To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge
ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding
Daily, Monthly and annual AR Financial reports preparation
Custom reports where required
Patient billing as per instructions
Credentialing guidelines
Consulting/Training
Super bill review
Appeals
(b). Medical Coding
To research the right DX and CPT code according to medical records
Provide right DX pointers for the first time to avoid payment delays
Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version
(c). Specialties
Anesthesiology
Cardiology
Chiropractic
Dermatology
Emergency Medicine
Endocrinology
Family Practice
Gastroenterology
General surgery
Geriatrics
Gynaecology and obstetrics
Internal Medicine
Pneumology
Orthopaedic
Otolaryngology
Pathology
Pediatrics
Physical Medicine and Rehabilitation
Physical Therapist
Psychiatry
Neurology
Radiology
Radiotherapy
Rheumatology
Urology