Medical Billing

Demographic Entry (through EMR interface or data entry): We conduct 100% electronic eligibility verification and benefit determination through our technology interface with maximum Insurance companies to ensure timely payments. This service will allow you to collect fees upfront from the patients if the coverage is not active or the coverage does not cover certain benefits. Eligibility & Benefit Verification: We conduct 100% electronic eligibility verification and

• benefit determination through our technology interface with maximum Insurance companies to ensure timely payments. This service will allow you to collect fees upfront from the Patients if the coverage is not active or the coverage does not cover certain benefits.
  
  Charge Entry (through EMR Interface or data entry): Our experts conduct accurate capture of the charges to ensure clean claims are submitted to the insurance so that the claims paid on first submission resulting is lower chance of denials. They also keep track of different insurance protocols to determine if any claim is to be accompanied with corresponding medical documents so that the claim does not get denied by the insurance resulting in delay in payment.
  
  Payment Posting (ERA and Manual Posting): Our billing interface is equipped to receive ERA from maximum insurances. Our payment posting team with technology assistance identifies claims that have been underpaid than the contracted amount and contact the insurance to obtain the balance payment on the underpaid claims. They also ensure accurate amount is turned to patient responsibility so that patients get accurate bills for which they are due.
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  Denial Management / Appeals: We have dedicated denial management experts who analyze the denials to identify the correct course of action through re-submission or appeals to ensure that the denied claims get paid. They take up with the Insurance on claims for payment which have been incorrectly denied by the insurance.
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  AR Management: Our team of Accounts Receivables experts having thorough knowledge of the billing protocols with respect to each specialty/insurance/state; deals with the insurances on claims on which payment has not been received. They have the capability to ensure the payment of claims in single or minimum attempt thereby accelerating your cash flow and reducing the days in Accounts Receivables. They follow up on each and every claim irrespective of the age of the claim or amount.
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  Management Reports: We provide customized Practice Management Reports to our clients on a weekly/ monthly/quarterly basis which gives perfect/transparent status on how their practice is performing with respect to patient management and billing / collections and also provide information on procedure-mix/payer-mix based on which the practice can take business decision to enhance their performance/revenue.