Consulting Services
Payment Posting & Denial Analysis:
Our Payment & Denial Analysts are trained professionals to do the posting and analyze for the denials and take a corrective measure which improves your Cash Flow.
How we can help
How Our Medical Billing Process Work:
End-to-end programs.
Our medical billing company streamlines every step of the billing cycle, from claim submission to reimbursement, ensuring that practices get paid faster, with fewer denials and fewer administrative headaches. By simplifying the process and improving accuracy, we help providers focus more on patient care while boosting their revenue and cash flow.
1)Patient Demographics Entry
We begin by capturing accurate patient information to establish a solid foundation for the billing process.
2)Insurance Eligibility Verification
Patient insurance coverage is verified upfront to minimize claim rejections and delays.
3)Medical Coding
Certified coders assign precise ICD, CPT, and HCPCS codes, ensuring compliance and accuracy in claim submissions.
4)Charge Entry
All services rendered are recorded with correct charges to reflect accurate patient accounts.
5)Claims Transmission
Patient insurance coverage is verified upfront to minimize claim rejections and delays.
6)Payment Posting
Payments received from insurance companies and patients are posted promptly and accurately.
7)Refunds & Credits
Any overpayments or credits are reconciled and managed in compliance with payer requirements.
8)Insurance Follow-Up
Our team actively follows up with insurance companies to track unpaid claims and accelerate reimbursements.
9)Self-Pay Follow-Up
For patient balances, we conduct professional follow-ups to ensure timely collections.
10)Denial Management
Denied claims are carefully analyzed, corrected, and resubmitted to maximize revenue recovery.
11)Provider Enrollment & Credentialing
We handle provider credentialing and enrollment with payers to ensure smooth participation in insurance networks.
12)Authorization
We secure prior authorization from insurers for required procedures and services, reducing the risk of claim denials and payment delays.
Carol Oliveira
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Frequently Asked Questions
A medical billing company is an intermediary between healthcare providers, patients, and insurance payers. It helps your practice get paid by generating, submitting, and tracking medical claims for maximum and timely revenue collection.
Outsourcing medical billingĀ has key benefits, including reduced cost, increased efficiency, and patient satisfaction. It helps healthcare providers focus on patient care while increasing revenue collection.
Our team of certified billers and coders has expertise in more than 40 specialties that ensures personalized medical billing services for your practice.
We offer flexible pricing. You can choose the percentage of the collection pricing model with no hidden costs.
Yes, we can work with the billing software you currently use. Our team will conduct a brief demo and familiarize itself with your system for better service delivery.