Medical Billing

Submission and following up on claims with health insurance companies to receive payments rendered by the healthcare providers.

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APPOINTMENT SCHEDULING

We take into consideration your working hours and set up metrics accordingly.
  • Reduce no-shows with appointment reminders.
  • Customizable and versatile calender views to suit individual needs.
  • Convenient access to daily appointments with detailed information.

ELIGIBILITY VERIFICATION

Keep a close eye on your patients to provide them the best care.
  • Verify your patient's insurance benefits with a single mouse click.
  • Easily readable and printable reports.
  • Increase your collections by sharing the information with patients.

PATIENT ENROLLMENT

Capture patient’s demographic information instantly and accurately.
  • Complete transparency with claims.
  • Keep track of everything through KPI dashboards.
  • Our certified professional ensure 100% HIPAA compliance.

PRE-CERTIFICATION/ PRE-AUTHORIZATION

Pre-authorization/ pre-certification is mandatory for most private/ commercial health plans.
  • Receive timely pre-authorization/ pre-certification ID details from insurance carriers.
  • Avoid making a wrong choice, it can cost and not save you money.
  • Our reimbursement specialists let you sit back and relax while keeping you updated.

MEDICAL CODING

Our team of experts are laser-focused with the latest industry standards.
  • CPT and ICD codes are used to maintain and store the data.
  • Codes are updated annually and semi-annually.
  • Access to comprehensive knowledgebase of coding, compliance, and reimbursement rules make us effective and reliable.

MEDICAL BILLING/ CHARGE CAPTURING

We are known for best medical billing and charge capturing.
  • Our billing quality department ensures minimum billing errors.
  • Template based encounters to capture patient visits.
  • Regular audits to ensure complete transparency.

CLAIM GENERATION & SUBMISSION

This is critical, take the load off your staff and let us take care of it.
  • Mechanism to catch duplicates and reduce denials.
  • Electronic submission, verification, & rejection.
  • Early identification leads to more money.

PAYMENT POSTING

We post payments received in all forms i.e. EOBs, EFTs received from carriers, banks, credit cards and cash payments.
  • Print all of your remittance reports in a standardized format.
  • Flag under-payments and denials with follow-up action.
  • Post multiple patient payments in one stroke. Fully functional, robust and flexible auto-post.

ACCOUNTS RECEIVABLE SERVICES

AR analysis, timely follow-up and reporting services for your peace of mind.
  • Ability to void or hold both electronic and paper claims.
  • Aging analysis, procedure code analysis, insurance analysis and more.
  • A simple, personalized process to save you money, time and effort.

PATIENT FOLLOW-UPS

Aggressive and regular follow-up process to keep your finances in place.
  • Digital reminder systems and telehealth technology.
  • Easy to use patient portal to keep the patients connected at all times.
  • Follow up on your behalf for outstanding payments to reduce bad debts and maintain better relations.

INSURANCE FOLLOW-UP

Aging reports for outstanding claims and follow-up with carriers.
  • Maintain target of 45-50 days for DSOs.
  • Follow-up actions include phone calls, emails, letters, automated calls and more.
  • Routine monitoring and maintaining reports.

DENIAL ANALYSIS & FOLLOW-UPS

Thorough analysis of every denied claim, make corrections and follow-ups to convert them into clean claims.
  • Introduce preventive measures for future billing.
  • We maintain a turn-around time of 48/ 96 hours for denials.
  • Printable and easy to access reports to keep track and make adjustments.

CREDENTIALING & ENROLLMENTS

Credentialing services for all the federal & commercial payers including MCR, MCD, Tricare, BWC.
  • Instead of submitting initial requests, we directly reach PR REP for your county to avoid delays.
  • Quickly identify providers that have chosen to opt-out of Medicare and Medicaid.
  • Our tools can be shared across multiple departments or teams to give a boost to staff efficiency and maximize revenue.

Key Features

Minimize frustration and maximize efficiency and profitability with this cloud-based solution for value-based healthcare. Professional EHR's intuitive design mimics practice workflow, while its simple navigation mirrors a physician's thinking process.

  • E-PRESCRIPTION
  • HEALTH RECORDS
  • PATIENT CHARTS
  • LAB INTEGRATION
  • HEALTH SCHEDULER
  • SECURE MESSAGING
  • EHR DASHBOARD
  • SPECIALTY MODULES

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