Frequently Asked Questions

Medical Billing Services

FULLY INTEGRATED EHR & PRACTICE MANAGEMENT SYSTEM

  • How many treatments will I need?

  • Daily claims submission and follow-up

  • Primary, secondary and tertiary payers claim processing

  • Regularly updated rules based engine

  • Rules based claim review and scrubbing

  • Complete claim follow-up

  • Denial and underpayment management

  • Rejection and appeals management

  • Payments and adjustments

  • Patient billing and balance reminder calls

  • Comprehensive online financial and practice analysis reports

  • 24/7 secure online access to all billing and claims processing information

  • Online insurance eligibility verification

  • Real-time claim adjudication

  • Built-in claim automation

  • Clearinghouse integration

  • Dedicated Account Teams

  • Paper and electronic statements

  • Daily/monthly/YTD financial reportss

Our Billing Services

  • Appointment Scheduling for Medical Providers

  • Patient Demographics & Charge Entry

  • Electronic & Paper Claims Transmission

  • Payment Posting

  • Denial Analysis

  • AR Analysis & Follow-up

  • Patient Billing & Collections

  • Aged AR & Retro- Audit Follow up for under paid and old claims

Charge Entry Process:

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

Payment Processing

  • Daily Deposits are balanced accurately & tallied to every penny

  • Status reports are available online 24/7

  • Denials are analyzed & worked on immediately and corrective actions are taken to resolve in claim payment

  • A report is run on the prominent denials received these are then researched and resolved

  • All secondary claims which are not crossed over electronically are printed and submitted with a copy of Primary EOB

Revenue Cycle Management:

Accounts Receivable & Insurance Collection

  • Our aim is to improve your cash flow by reducing days in A/R and improving profitability, by increasing collections ratio

  • Our methodology revolves around identifying category / payer combinations and work on resolving the mix that results in best collections efforts

  • Ability to correctly process insurance Information depending upon HMOs, PPOs, IPAs is our strength

Patient Follow –up & Collections

  • Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect outstanding balances

  • Knowledge of Fair Debt Collection ACT

  • Monthly Statements are sent

Aged AR & Retro Audit Follow- up

  • Our experienced team of professionals can assist you with follow-up on all unpaid and partially paid claims

  • We define, analysis and then chart a workflow for Collections of old Accounts Receivables and under paid claims based on the providers contract

Specialties we handle:

  • Ambulance Billing , Anesthesiology , Behavioral Health, Cardiology , Cardio Thoracic Surgery , Chiropractic

  • Chemo Therapy , Dermatology , Durable Medical Equipment, Emergency Medicine , Family Practice , Ambulatory Surgical Centers

  • Internal Medicine , Neurology , Oncology , Orthopedic, Physical Therapy , Pediatrics , Podiatry, Pain Management , Radiology , OBGYN

  • Orthodontics and dentofacial orthopedics, Pediatric dentistry, Periodontics, Prosthodontics, Oral and maxillofacial surgery

  • Oral and maxillofacial pathology, Endodontics, Public health dentistry, Oral and maxillofacial radiology, Acupuncture, Allergy/Immunology

  • Anesthesiology, Audiologist, Cardiology, Certified Clinical Nurse Specialist, Chiropractor, Clinical Neuropsychologist, Clinical Psychologist

  • Colon Rectal Surgery, Counseling, CRNA, Dermatology, Diagnostic Radiology, Dietitian, Electrophysiology, Emergency Medicine, Endocrinology

  • Family Practice, Gastroenterology, General Practice, General Surgery, Geriatric Medicine, Hand Surgery, Hospitals General Acute, Infectious Disease

  • Internal Medicine, Interventional Pain, Medical Genetics, Multiple Specialty, Naturopath, Nephrology, Neurology, Neuropsychiatry, Neurosurgery

  • Nuclear Medicine, Nurse Practitioner, OB-GYN, Occupational Therapy, Oncology, Ophthalmology, Optometrist, Orthopedic Surgery, Otolaryngology

  • Other Medical Supply Company, Otolaryngology, Pain Management, Pediatric Medicine, Physical Medicine & Rehab, Physician Assistant, Podiatry

  • Plastic Surgery, Preventive Medicine, Prosthetic Orthotic, Psychiatry, Pulmonary Diseases, Radiation Oncology, Rheumatology, Service Providers

  • Sleep Diagnostics, Social Worker, Surgical Oncology, Sports Medicine, Sleep Medicine, Surgery-General, Thoracic Surgery, Urology, Vascular Surgery

Our skills are not limited to the above specialties, we are skilled and have ages experiences in the Medical billing filed and may assist any of the specialty in the healthcare industry seamlessly that can boost your revenue. Our Team Slogan is "You take care of your patients we take care of the rest…."