Healthcare Back-office Support Services for Urgent Care Centers

Healthcare Back-office Support with Experience and Expertise

Leveraging this expertise, we can provide following outsourced healthcare back-office support services for urgent care centers:

Revenue Cycle Management

From claim creation, quick submission and aggressive follow-up to denial management, payment posting and reporting, we offer custom-built solutions that reorganizes your revenue cycle system and helps you get paid 30% more, 45% quicker. Unlike other third-party healthcare back-office support companies, we use the power of an efficient practice workflow and optimized time management process to identify areas of under-performance and convert unrealized reimbursement opportunities.

Medical Billing

Leveraging on our deep knowledge of billing standards and practices used in urgent care centers, we have designed customized urgent care billing services to better manage practices and deliver maximum gains to our clients.

We assist urgent care providers with medical billing services including, but not limited to:

• Analyzing and optimizing claims procedures
• Using an optimized submission process
• Pursuing denials in an aggressive and timely manner
• Closely following-up on outstanding patient balances
• Providing clients with up-to-date performance reporting
• Electronically billing claims
• Reviewing and posting EOBs
• Reviewing contracts
• Providing analysis and recommendations for the practice

Medical Coding

We are an expert in medical coding and know how to leverage this expertise to develop perfect offshore coding solutions to urgent care centers such as:

• Offshore coding audits
• HCC medical coding services
• Payer specific medical coding services
• Chart Audits and Code Reviews
• Hospital / in-patient coding services
• HCPCS, ICD-9 and ICD-10 coding including ICD-10-CM, ICD-10-AM, ICD-9-CM and CPT-4 medical coding
• CPT coding with appropriate modifiers
• IHCC coding services
• Emergency room e-code evaluation
• Backlog coding resolution services
• DRG code validation services
• ASCs – Ambulatory Surgical Centers Coding

Accounts Receivable Management

MedBillingExperts’ AR management team is well-equipped to handle every possible difficulty that can hamper the cash inflows to your organization. We strive to collect every penny owed to you within the shortest possible and achieve this by implementing a multi-pronged AR management approach. This includes increasing clean-claims rate, streamlining the medical claim submission process, carrying out proper root-cause analysis of claim denials and ensuring prompt follow-ups with insurance companies as well as patients for outstanding dues and payments.

Denial Management

We are extremely skilled in accelerating the repair and re-submission of denied claims for cross-departmental teams for your organization. We use this expertise and experience to seamlessly:

• Identify the root cause of denials
• Maximize cash inflow
• Provide accurate and timely statistics for management/client
• Track, prioritize and appeal denials
• Support accurate workflow priorities and scheduling for follow up
• Avoid out-of-timely filing
• Analyse the effectiveness of the resolutions
• Identify business process improvements to avoid future denials
• Automate workflow for better efficiency
• Reduce controllable write-offs
• Reduce turnaround time
• Provide complete security of confidential patient information
• Reduce compliance issues

Medical Claims Processing

Our end-to-end medical claims processing services covers the entire gamut of your operations. This includes:

• Managing automated receivables process such as patient eligibility verification
• Managing primary and secondary claims reimbursement
• Managing rejected and denied claims
• Electronic remittance posting
• Reporting claims and remittance
• Patient statement processing

Our offshore medical claims processing services also encompasses:

• Resolution of claims deficiencies
• Verification of claims substantiations
• Managing claim-related correspondence
• Converting documentation into a searchable database
• Preparation of affidavits and recommendations for distribution
• Creation of case-customized claim forms and claims-processing requirements
• Providing comprehensive reporting
• Calculating and reporting payment amounts

Insurance Verification

MedBillingExperts’ insurance eligibility verification team will:

• Ensure benefits for all patients prior to submitting to the insurance company for approval
• Verify patient information with the insurance carrier
• Verify patients’ insurance coverage on all primary and secondary payers
• Complete appropriate criteria sheets and authorization forms
• Contact the insurance companies via phone, facsimile or online portal to obtain approval for your authorization request
• Contact insurance agencies for appeals, missing information to ensure accurate billing

We Provide a Range of Associated Services such as:

Medical Transcription

We offer tailor-made medical transcription services that caters to the particular needs of urgent care centers. Our experienced MTs and qualified specialists will understand your preferences and then customize the process based on your account specialties and workflow requirements. What you get as a result is a scalable transcription system that is efficient and durable.

Medical Record Indexing

Our professional medical record indexing services makes it easy to scan, index, and archive every type of medical records that you deal with. This includes:

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

Healthcare Analytics

We provide a gamut of turnkey analytics solutions that help our clients improve their existing processes and achieve greater operational efficiency and superior clinical outcomes. This includes:

• Healthcare predictive analytics
• Business intelligence
• Modelling and optimization
• Real-time medical data analytics

Healthcare IT

We offer a range of healthcare IT services that helps urgent care centers to effectively address their operational challenges and grow their businesses stronger. Some of our services include custom-development, quality assurance, implementation and integration.

Healthcare Data Entry Services

Our urgent care data entry experts are well-versed with performing medical data entry for any type of clinical data, including:

• Urgent Care Records
• Tests or Lab Records
• Surgical Encounter Records
• Prescription Medication Records
• Clinical and Healthcare Records
• Demographic Entries
• Charge Entry
• Payment Posting
• Text and Numeric Data Entry
• Image Record Data Entry
• Handwritten Document Data Entry
• All Patient Information, Chart Information, Appointments, Account Information, Insurance Details, Notes from the Doctor, Billing, etc.
• Medical Insurance Claim Forms, including UB-04, HCFA, CMS-1500, UB92, Dental Claims Forms
• Other Relevant Medical Documents

When you outsource healthcare back-office support services for urgent care centers to MedBillingExperts, you’ll partner with a healthcare back-office support company that is focused on streamlining your operations and maximizing collections.