We help you streamline the billing tasks through the following:
- Integrate CollaborateMD with your existing EHR/EMR for a unified billing experience with real-time medical data.
- Verify patient eligibility and insurance benefits coverage before scheduling appointments to reduce claims rejections and delays.
- Check the available slots of healthcare providers and schedule appointments for patients to reduce no-show rates and cancellations.
- Capture charges for medical services rendered with the right billing codes, such as CPT codes, ICD-10 codes, HCPCS Level II codes, modifier codes, etc.
- Ensure compliance with various medical billing regulations such as HIPAA, GDPR, etc.
- Use the tool’s code-scrubbing engine to detect errors or inconsistencies in claims and resolve them before submitting them to the clearinghouse.
- Submit electronic claims to the payers, including government programs (Medicare, Medicaid), Workers’ Compensation, VA, corporate insurance (UnitedHealth Group, Anthem, Aetna), etc.
- Post payments from the payers in multiple types in the correct patient account and reconcile them with the charges captured.
- Receive EOBs from payers, verify covered charges, and resolve issues, if any. Initiate the appeals process to get maximum reimbursement for the services rendered.
- Calculate the patient payment responsibilities such as copays, deductibles, coinsurance, etc. and notify them to avoid unpaid bills.
- Generate comprehensive financial reports on claims statuses, approved claims, billing performance, etc., to make informed decisions.