Billing And Coding Services
OUR METHODOLOGY
Credentialing services for all the federal & commercial payers including MCR, MCD, Tricare, BWC.
- Instead of submitting initial requests, we directly reach PR REP for your county to avoid delays.
- Quickly identify providers that have chosen to opt-out of Medicare and Medicaid.
- Our tools can be shared across multiple departments or teams to give a boost to staff efficiency and maximize revenue.
We take into consideration your working hours and set up metrics accordingly.
- Reduce no-shows with appointment reminders.
- Customizable and versatile calendar views to suit individual needs.
- Convenient access to daily appointments with detailed information.
Keep a close eye on your patients to provide them the best care.
- Verify your patient's insurance benefits with a single mouse click.
- Easily readable and printable reports.
- Increase your collections by sharing the information with patients.
Capture patient’s demographic information instantly and accurately.
- Complete transparency with claims.
- Keep track of everything through KPI dashboards.
- Our certified professional ensure 100% HIPAA compliance.
Pre-authorization/ pre-certification is mandatory for most private/ commercial health plans.
- Receive timely pre-authorization/ pre-certification ID details from insurance carriers.
- Avoid making a wrong choice, it can cost and not save you money.
- Our reimbursement specialists let you sit back and relax while keeping you updated.
Our team of experts are laser-focused with the latest industry standards.
- CPT and ICD codes are used to maintain and store the data.
- Codes are updated annually and semi-annually.
- Access to comprehensive knowledgebase of coding, compliance, and reimbursement rules make us effective and reliable.
We are known for best medical billing and charge capturing.
- Our billing quality department ensures minimum billing errors.
- Template based encounters to capture patient visits.
- Regular audits to ensure complete transparency.
This is critical, take the load off your staff and let us take care of it.
- Mechanism to catch duplicates and reduce denials.
- Electronic submission, verification, & rejection.
- Early identification leads to more money.
We post payments received in all forms i.e. EOBs, EFTs received from carriers, banks, credit cards and cash payments.
- Print all of your remittance reports in a standardized format.
- Flag under-payments and denials with follow-up action.
- Post multiple patient payments in one stroke. Fully functional, robust and flexible auto-post.
AR analysis, timely follow-up and reporting services for your peace of mind.
- Ability to void or hold both electronic and paper claims.
- Aging analysis, procedure code analysis, insurance analysis and more.
- A simple, personalized process to save you money, time and effort.
Aggressive and regular follow-up process to keep your finances in place.
- Digital reminder systems and telehealth technology.
- Easy to use patient portal to keep the patients connected at all times.
- Follow up on your behalf for outstanding payments to reduce bad debts and maintain better relations
Aging reports for outstanding claims and follow-up with carriers.
- Maintain target of 45-50 days for DSOs.
- Follow-up actions include phone calls, emails, letters, automated calls and more.
- Routine monitoring and maintaining reports.
Thorough analysis of every denied claim, make corrections and follow-ups to convert them into clean claims.
- Introduce preventive measures for future billing.
- We maintain a turn-around time of 48/ 96 hours for denials.
- Printable and easy to access reports to keep track and make adjustments.
