We help you streamline the billing processes for your practice through the following:
- Collect patient demographics and insurance provider information to store in EHR for easy access.
- Verify eligibility and insurance coverage details before scheduling the appointment for patients to avoid claims denials and delays.
- Help schedule appointments for patients after verifying the physician's availability. Notify patients about their appointments to avoid no-shows and cancellations.
- Check whether preauthorization is required for any medical treatment and obtain it before initiating the treatment to avoid claims rejections.
- Assign appropriate codes (ICD-10, CPT, HCPCS Level II, modifier codes, etc) for the medical services rendered to ensure accurate claims documentation.
- Make an electronic submission of clean claims to the payers, including government programs (Medicare, Medicaid), Workers Compensation, Veteran Affairs, and private insurance companies (Anthem, Cigna, Humana, etc.).
- Assist in receiving electronic payments from the payers and self-pay patients to further simplify the revenue collection process for our clients.
- Post payment details in the respective patient accounts and reconcile them with the corresponding invoices to ensure accurate financial records.
- Generate customized reports for improving financial performance and identify areas of improvement.