Our Medical Billing Process
Patient Registration
During patient registration, we gather and double-check all the needed information. We make sure to obtain accurate details about the patient and their insurance to ensure a proper start to the billing process.
Appointment Scheduling
When appointments are set up, they are tagged with the right codes. This is done to keep the billing system in good order and ensure accurate billing to the insurance company.
Claim Submission
Claims are prepared and sent off to the insurance companies promptly, ensuring that all necessary documentation is included. This is done to expedite the process and provide the insurance company with everything they need.
Denial Management
If a claim gets denied, we investigate to identify the reasons. We correct any mistakes and provide additional information if necessary to ensure successful claim resolution.
Claim Adjudication
We monitor our claims as the insurance companies review them. Understanding coverage determinations, patient responsibilities, and necessary adjustments is crucial for successful claim adjudication.
Insurance Verification
We check patient insurance to confirm its validity. This step is crucial to avoid problems with claims and to confirm that the patient's insurance covers the services they are receiving.
Charge Entry
We enter the charges for services into our billing system and connect them to specific codes. We do this carefully to avoid mistakes and ensure a smooth reimbursement process.
Payment Posting
We record payments received from insurance and patients and match them with the corresponding claims. This maintains accurate records and provides clarity regarding financial transactions.
Patient Statements
We generate clear and detailed statements for patients, explaining charges and payments. Open communication is maintained to ensure patients understand their financial responsibilities.
Financial Reporting
We keep in touch with insurance companies to ensure they pay what they owe. For patients with outstanding balances, we work collaboratively to establish payment plans and resolve financial matters amicably.
Cover All Specialties
Dedicated Account Manager
Insurance VOBS & PAS
Data Security & HIPAA
Certified Medical Coders
Quick Turnaround Time
Back-Office Support Services
No Long-Term Contracts
30+ EHR/PM Systems
Aggressive AR Management
Small & Large Practices
Customized Reporting