Medical Billing Services
Enhance Your Revenue Cycle Process from End-to-End
Set a Path to Faster Payments and Lower Risk
Your revenue cycle is the lifeblood of your practice. Slow payments, compliance issues, and outright denials can significantly impact your practice’s performance.
Our Medical Billing professionals are dedicated to helping you optimize your revenue cycle processes to get paid faster and resolve unpaid claims.
Every practice is unique, and we offer customized plans to meet your needs.
Choose as many of our medical billing services as you need to help your practice thrive.
Charge Entry
- Scrub all provider-supplied information (demographics, patient information, codes) line-by-line for accuracy and completeness
- Perform insurance carrier verification
- Create and submit electronic claims
Payment Posting
- Review all payments and responses from the payer (insurance company or patient)
- Ensure payment files are clean and balanced with their corresponding charge files
- Perform follow-up on denials and unclean files with the patient, provider, and carrier
Accounts Receivable
- Maintain up to 95% clean claim rate (Industry standard is 75%-85%)
- Troubleshoot outstanding claims and follow-up with the insurance carrier
- Send appeals, contact insurance carriers, and make claim corrections
- Address “common denominator” issues to prevent future recurring AR issues
- Evaluate older claims (past 90 days from generation) to determine the next steps and which claims are worth pursuing to clean up your AR
Patient Collections
- Issue bills at the provider’s discretion, including co-payments, deductibles, and co-insurance owed after claims are processed
- Set up patient billing for text, email, and physical mail
- Manage billing timeframes and payment plans
- Field all patient billing inquiries toward resolution and patient satisfaction
- Vet and farm out unpaid patient bills to collection agencies
Insurance Contracting/Credentialing
- Create and manage contracts with carriers
- Manage all re-credentialing processes and requirements
- Set up local health systems contracting
