We help you streamline the billing tasks through the following:
- Verify patient eligibility and insurance coverage details during appointment scheduling to avoid claims denials and delays.
- Check if any preauthorization is required for the service and obtain it before initiating the medical procedure.
- Replace mundane manual billing processes with advanced digital features to reduce billing errors.
- Assign correct codes such as ICD-10, CPT, HCPCS Level II, modifiers, etc., for the services rendered to the patients.
- Maintain compliance with various regulatory requirements such as HIPAA.
- Submit clean claims to the payers, including Medicaid, Medicare, Workers’ compensation, and private insurance companies (Anthem, Cigna, etc).
- Receive EOB from payers mentioning reasons for claims rejections. Resolve and resubmit claims to maximize reimbursement.
- Assist in receiving payments and posting them in the right financial system.
- Manage accounts receivable and collections from patients to improve revenue for our clients.
- Generate accurate reports with the KPIs metrics and other documentation to detect areas of improvement.