Outsource Healthcare Back-office Support Services for Physicians

Streamlined Healthcare Back-office Support Services for Optimum Collections

Revenue Cycle Management

MedBillingExperts’ revenue cycle management solution is an amalgamation of streamlined processes and certified professionals, which is perfectly brought together to help your practice reduce costs and increase cash flows. We work through all the phases of RCM — from patient insurance eligibility check, claims scrubbing and claims submission to payment posting, billing and denial management — with a single-minded focus to maximize revenue and profit. This single-minded focus helps us deliver 30% more reimbursements, 45% quicker.

Medical Billing

We provide end-to-end medical billing services that helps mitigate the billing problems that are commonly faced by physician groups. This includes:

• Diagnosis coding
• Claims submission and tracking
• Insurance verification & authorization alert
• Credentialing
• Claims denial management
• Payment posting
• Patient balance follow-up

Medical Coding

MedBillingExperts specializes in helping physicians to accurately code diagnoses, procedures, and services, and collect 99% of total billed revenue. We bring to you a proven expertise of a large network of skilled coders with at least 4+ years of exposure to the coding requirements across specialties.

Our Medical Coders’ Expertise Includes:

• HCPCS, ICD-9 and ICD-10 coding
• Evaluation and Management codes
• CPT coding systems
• HCC and IHCC medical coding
• Payer specific medical coding services
• Offshore coding audits

Accounts Receivable Management

Comprehensive AR management and follow-up services that we offer include:

• Billings preparation (as required by TAD) and mailing after customer approval
• Entering receivable transactions into the accounting system
• Accounts receivable deductions management (AR deductions management) services
• Preparing accounts receivable reports
• Applying cash received to customer accounts and resolving short pays
• Carrying out process adjustments approved by the customer
• Maintaining subsidiary receivables ledger
• Issuing of credit memos and refund checks approved by the customer
• Preparing and delivering periodic statements

Denial Management

We offer a complete suite of denial management services to increase payment recovery. This includes:

• Complex denials service
• Discount compliance recovery services
• Payment variance program
• Government appeals service
• Clinical appeals service

Insurance Verification

MedBillingExperts’ insurance verification services insulate you from the wrath of costly write-offs and denials by:

• Ensuring benefits for all patients prior to submitting to the insurance company for approval
• Verifying demographic information
• Verifying patient’s insurance coverage on all primary and secondary payers
• Updating the billing system with eligibility and verification details such as coverage start and end dates, member ID, group ID, co-pay information and much more
• Updating patient accounts
• Contacting patients for additional information
• Contacting insurance agencies for appeals, missing information to ensure accurate billing

We also Excel in Providing Associated Services Such as:

Medical Transcription

MedBillingExperts specializes in providing prompt, accurate and reliable medical transcription services to physicians of all types. We offer 24X7 coverage with 12 to 24 hours turnaround time depending on the requirements of the client.

Medical Record Indexing

Our robust and flexible indexing system helps you in the comprehensive management of medical records including:

• Physician orders
• Explanation of Benefits (EOB) documents
• Medical reports and charts
• Hospital admission and discharge notes
• Insurance bills and claims
• Patient demographic charts
• Clinical history
• Form indexing including form 485
• Health insurance ID cards
• Health service providers’ notes
• Referral/prior authorization request and so on

Healthcare Analytics

We offer end-to-end healthcare analytics services that will help physicians to optimize their processes for enhanced operational efficiency, better clinical outcomes and improved risk management.

Healthcare IT

We provide HIPAA-compliant healthcare information technology solutions including:

• 24×7 help desk services
• Server and application support
• Trouble ticket processing
• Hosted communication services (email and voice)
• Professional services (projects and IT architecture)
• On-site staff augmentation
• Remote and collocated infrastructure
• Disaster recovery platforms

Healthcare Data Entry Services

We offer data entry solutions for a wide range of records, which include:

• Patient records
• Physician records
• Clinical and healthcare records
• Other medical files, records and documents
• Medical insurance billing forms. HCFA 1500 (CMS 1500), UB-04 UB, and other medical claim forms
• Image data records