Medical Billing

Medical Billing

Outsourced Healthcare Revenue Cycle Management Services – Medical Claims Processing, AR Calling, Billing & Coding, Charge Entry, Account Receivable, A/R, and Denial Management.

Services Offered:

  • Coding ( CPT, ICD-9, and HCPCS)
  • Patient Demographics Entry
  • Charge Entry – All specialties
  • Payment Posting (Manual and Electronic)
  • Payment Reconciliation
  • Denials/rejections analysis, re-billing
  • Accounts Receivable Follow-up
  • Systemic A/R projects, re-billing
  • Collection Agency Reporting
  • Refunds

Coding Services:

  • Our Medical Coders are certified by the AAPC (American Association of Professional Coders) and have a minimum of 4 years hands on experience.
  • CPT, ICD-9, and HCPCS coding across various specialties
  • Insurance and governmental regulatory requirements strictly followed
  • Payer-specific coding requirements
  • On-line and Off-line software utilization experience.

Demographic entry

  • Ability to work on scanned images as well as Electronically Submitted Demographic Sheets.
  • Ability to accurately process insurance Information (selecting appropriate insurance details.
  • Our people access the information via the Server (or directly from Software Screen as the case may be) and enter information directly into the client software

Charge Entry

  • We process charges for all specialties with good appropriate state and specialty rules.
  • We have the ability to put in place Effective Charge Control Measures including Hash-Total Matching or Software based Batch Control
  • We perform internal Quality Assurance at different Levels to provide the high quality output.

Payment posting

  • Daily Deposits balanced accurately
  • Low Pay, No Pay reports sent to client on daily basis
  • Denials are worked immediately and secondary claim reports are sent on daily basis.

AR Follow-ups

  • We aim is to improve the client’s cash flow by reducing days in A/R and improving profitability, by increasing collections ratio. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect un- paid and partially paid claims.
  • Ability to work offline (using spreadsheets or reports) or directly from Client Software Reports.
  • Our process mechanism helps in identifying category / payer combinations and works on resolving the mix that results in the best collections first. Using this approach, we are able to quickly achieve results and also apply early feedback across the entire category.