Medical Billing Services

Maximize your practice’s profitability with our advanced medical billing services, crafted to optimize your financial workflow and deliver exceptional outcomes. Say goodbye to billing complexities and hello to a seamless, efficient process that boosts your bottom line. Here’s how we make your billing hassle-free and highly effective.

Patient Registration

Patient registration is the first and crucial step in the medical billing process. It involves collecting essential patient data to create accurate records that drive the entire billing cycle. Accurate and efficient registration helps ensure that claims are processed smoothly, reducing errors, improving reimbursement rates, and enhancing patient satisfaction.

Eligibility Verification

Checking the eligibility before claim submission is an important step and it not only increases the claim acceptance rate but also assures timely reimbursement for the claims. We are utilizing all available resources to verify a patient’s eligibility to see whether they qualify to meet the minimum requirements of their insurance provider.

Coding

Medical coding involves converting medical diagnoses, procedures, treatments, and services into standardized codes used for billing, insurance claims, and maintaining patient records. These codes are essential for healthcare providers, insurers, and regulatory authorities to ensure proper documentation and reimbursement.

Charge Capture

Our experts have the necessary qualifications to handle complex data capture tasks with both precision and great care. We provide superior data capturing, extracting, and archiving services for a wide variety of records. We assure the charges entry process within 24 hours of getting super-bills through our detailed and error-free entry process.

Claim Scrubbing

Claim Submission

We have a complete set of rules based on billing/coding guidelines to scrub each claim. Our teams make sure that charges are audited by the quality team and the clean claims are sent for processing.

Adjudication

Proactive creates an electronic setup with all the relevant payers for fast billing submission to achieve the estimated revenue within the filling time period. In case electronic setup is not available, we have a separate set of contacts to file claims as paper including UB-04, HCFA, CMS-1500, UB92.

Denials and Rejections

For any rejections, we proactively solve claim’s errors for direct and indirect submission. We will also take necessary actions on denials to make sure the reimbursement is on time. It’s the billing part to keep you updated about claim’s reprocessing and appeals until they get paid.

Payment posting

Payment posting is as essential as claim submission. So, for the best account management, we actively post payments from electronic remittance (EOB), paper vouchers, and patient payments.

Follow-up and Appeals

In case of any contradiction, we fill necessary appeals to get the held payments timely.

Patient’s Billing and Statements

Our billing process is automated to send clear statements to patients to get paid on time for out-of-pocket amounts (copay, coinsurance, deductible, other patient responsibilities). We intermittently dispatch high-quality patient statements and billing summaries for recordkeeping and to effectively backtrack expenditures. This gives you a comprehensive look at every component of the final bill.

Medical Billing Services

Patient Registration

Eligibility Verification

Coding

Charge Capture

Claim Scrubbing

Claim Submission

Adjudication

Denials and Rejections

Payment posting

Follow-up and Appeals

Patient’s Billing and Statements

Benefits of Choosing Us

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