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Medical Billing
Although Tedious, Taking These Steps Are Crucial
- Patient Registration: Collect and verify patient information, insurance details, and demographics.
- Check Insurance Eligibility: Confirm the patient’s insurance coverage and benefits before treatment.
- Verify Preauthorization: Ensure preauthorization requirements are met for certain procedures or treatments.
- Create Patient Encounter: Generate a record of the patient’s visit, including diagnosis and services provided.
- Medical Coding: Assign appropriate medical codes (CPT, ICD-10) to document diagnoses and procedures.
- Charge Entry: Input the coded information along with associated charges into the billing system.
- Claims Submission: Send electronic or paper claims to insurance companies for reimbursement.
Remember These Steps Keep You In Business
- Claims Adjudication: Insurance companies review claims, checking for errors and verifying coverage.
- Payment Posting: Record payments received from insurance companies and patients.
- Denial Management: Identify and address denied claims, resubmitting with corrections if needed.
- Patient Billing: Generate patient invoices for any remaining balance after insurance payments.
- Follow-Up: Monitor unpaid or partially paid claims and follow up with insurance companies for resolution.
- Patient Collections: Contact patients for outstanding balances and set up payment plans if necessary.
- Reconciliation: Ensure payments received match expected amounts and reconcile any discrepancies.
- Reporting: Generate financial and operational reports to analyze practice performance.
- Appeals: Submit appeals for denied claims that were valid and should be reimbursed.
- Patient Statements: Send regular statements to patients with outstanding balances.
- Financial Close: Review and finalize all billing and accounting activities for the billing cycle.
- Compliance and Auditing: Conduct internal audits to ensure compliance with billing regulations.
- Record Keeping: Maintain accurate and organized records of all billing-related activities.
This comprehensive process ensures accurate and timely billing, optimizing revenue and maintaining efficient practice operations.
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The Impact That It Will Have On Your Practice
In the intricate landscape of modern healthcare, proficient medical billing stands as the linchpin of a doctor's private practice survival. Beyond financial sustenance, precise billing is the sentinel that guards against revenue leaks, ensuring that every dedicated ounce of medical expertise translates into deserved compensation. It's the unwavering partner that propels growth, enabling investment in cutting-edge technologies, expanded services, and an enhanced patient experience. Ultimately, embracing the art of medical billing isn't just a choice; it's an imperative for a thriving practice to flourish amidst the complexities of today's medical industry.
- Your Practice Gets Compensated
- Your performance at work increases
- You can make an exit after building company correctly
Your Success is Guaranteed
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Our Services
Medical Billing
Relieve your medical billing worries and focus on patient care with our assistance.
Medical Coding
We provide expert medical coding services with advanced technology and great customer service for healthcare providers
Revenue Cycle Management (RCM)
We helps healthcare providers handle billing and collection efficiently, saving costs and allowing for increased revenue.
Verification of Benefits
Our service ensures correct insurance coverage, preventing payment problems and ensuring full medical treatment coverage for patients.
Claim Scrubbing & Submission
We simplify insurance billing for doctors and hospitals using cutting-edge technology to double-check bills and ensure compliance with insurance company rules.
