By choosing our One Stop Medical Billing Solutions and Revenue Cycle Management Services, you will add 15+ years of experience in Medical Billing and Revenue Cycle Management, ultimately you will save time and money while unlocking massive growth.
Why is One Stop Medical Billing SolutionsandRevenue Cycle ManagementImportant?
Quality of Care
Revenue Cycle Management Process & Protocols
Revenue Cycle Management
1- Patient Demographics
Verification of Patient Demographics according to the patient information provided in patient’s records.
2- Insurance Verification
Insurance & Benefits Verification according to the Insurance Information provided in patient’s records.
3- Billing & Coding
Review of Physician’s Charting and Medical Coding by Trained Medical Coders according to current guidelines for Emergency Department and Outpatient / Inpatient Hospital Admissions.
4- Charges Review
Coding and Charges Review by RCM Experts according to payers guidelines and reimbursement trends before claims submission.
5- Claims Submission
Clean Claims Submission after coding and charges review by RCM Experts according to payers guidelines and reimbursement trends.
Aggressive Follow-up on Accounts Receivable (AR) & unpaid claims with Insurance companies, 3rd party claim processors, Auto Injury and Workers’ compensation Insurances and Law Firms.
7- OON Negotiations
Out of Network Negotiations with Insurance companies, 3rd party Negotiation companies and Law firms according to the current settlement and reimbursement trends.
8- ERA & EOB Posting
Payment Posting from ERAs and EOBs received from Insurance companies, 3rd party claim processors, Auto Injury and Workers’ compensation Insurances and Law Firms.
9- Underpaid Audit
Review and Audit of underpaid claims based on the current settlement and reimbursement trends of different payers and plans.
Re-opening of underpaid claims for re-negotiations, claim review requests, 1st and 2nd level appeals, disputes and complaints with TDI, NSA & IDR Mediations for underpaid claims by our AR team.