MedbillingExperts, has over 10 years of experience in dealing with common medical billing issues for small practices. Our experts have wide experience in handling issues such as complexity in documentation, reduced fee reimbursement, delayed payment etc. all of which come in the way of hassle-free claims processing for small practices.
Our profound understanding of the nuances of medical billing has helped us devise simple and effective solutions for small medical practices. We specialize in a wide spectrum of services such as credentialing, claims submission and tracking, claims denial management, payment posting, patient balance follow-up, among others and customize each of these to accelerate the claims process for small practices.
Obtain prior authorizations with proper follow-ups and verify policy status.
Collection and authentication of patient demographic details to facilitate error-free documentation and billing.
Delegate industry experts for an absolute error-free coding, scrutinize surgical and diagnostic codes for errors, thereby prevent denials.
Conduct a thorough and systematic auditing to identify any inconsistencies and send them for review.
Charge patient accounts accurately to simplify and accelerate reimbursements.
Detailed verification of documents received and rechecking to ascertain highest levels of accuracy before claims transmission.
Dexterous identification of root cause of denials and ascertain the mitigation of the same in the future.
Posting of all payments that are received into the medical billing system.
Follow-up on unpaid claims and furnish aging reports on a monthly basis for reimbursements.
Furnishing bills with accurate charges that patients will have to cover for their treatment.
We follow a streamlined process-flow to bring consistency in the insurance attestation process. We cover functions including primary and secondary coverages, co-insurance and deductible information, and out-of-network benefits. We obtain information such as the patient list, demographic details, and a copy of the insurance card via email/fax or secure FTP. We conduct pre-certification for specific lab and diagnostic tests, and surgeries.
We aid in managing patient flow by streamlining steps which are setting appointment schedules and pre-register your patients before their first visit. This expedites the process of delivering medical care and increases the chances of covering more patients that is critical for small practices as patient information is collected before-hand.
Our team of experts who specialize in DRG and procedural coding, data entry, and ICD-10 are compliant with the HAAD adjudication rules and follow the standard HAAD coding manual. Their coding expertise cover specialties and sub-specialties such as radiology, surgery, emergency department, anesthesiology, among others.
We set up an active communication channel insurance companies and healthcare providers to keep a tab on pending claims, monitor accounts receivables balances, probe into claims denials, and process collections. This is critical for small business practices as it accelerates cash flow and reduces AR days.
We follow a well-defined process to prepare and submit claims. It includes patient information collection, ICD and CPT codes verification,identifying billing and coding errors, furnish EOB's and conduct a final and thorough review of claims prior to their resubmission.
We take extreme precautions to ensure that there are no non-covered charges, duplicity in claims, and coding mistakes. We ensure an immediate registration of appeal for every denied claim backed up with updated information that is necessary to obtain a full reimbursement.
We are a HIPAA compliant medical billing firm, and we leverage advanced technology to stay compliant with all regulatory requirements
We utilize firewalls VPNs, SSLs and encryption techniques, and secure wireless networks systems to provide uncompromised data security
We regularly train our team to help them stay abreast of all the rules and regulations pertaining to billing and third-party payments
We leverage cutting-edge technologies such as Nextgen, MediToucheClinical works and more that are aimed to accelerate cash flow for small businesses.
We strive to maintain the highest levels of accuracy with the help of multi-level quality checks
We conduct a thorough verification of the status of patients` policy, claims address, and patient demographic information
We execute the insurance verification process by obtaining all the required insurance details and benefits information
We strive to reduce coding errors by ensuring compliance with ICD-10 and CPT coding requirements
We owe our highly efficient and streamlined medical billing process to MedBillingExperts. As an individual practitioner, it was difficult to focus on the quality if medical care for patients and develop an all-encompassing billing solution that was also compliant with the pertinent regulatory standards. The experts developed a solution that covered all the necessary processes such as maintaining information on co-pay, claims generation in the accepted NUCC format, quality review of bills, electronic claims transmission, among others. I would highly recommend MedBillingExperts as a provider of medical billing for practices.
MedBillingExperts helped us to develop a well-defined insurance eligibility verification process. Having started in the widely medical business, their process helped us to ensure an accurate claim processing without causing any major payment delays. Till date we have never regretted putting our trust on MedBillingExperts as a provider of medical billing services for small business.
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