Medical Billing & Coding

Description

Our goal is to streamline your revenue cycle, improve cash flow, and enhance the financial stability of your practice. Here's how we can help: 1. Patient Registration and Scheduling Patient Registration: We ensure accurate collection of patient demographic and insurance information. Appointment Scheduling: Optimizing patient appointments for efficient resource use. Pre-Authorization & Referral Management: Managing pre-authorizations and referrals to reduce delays. 2. Insurance Eligibility Verification Eligibility Verification: Confirming insurance coverage to minimize claim denials. Benefit Coordination: Managing benefits between primary and secondary insurers for accurate billing. 3. Medical Coding ICD-10, CPT, and HCPCS Coding: Accurate diagnosis and procedural coding to ensure proper billing. Code Review & Audits: Regular reviews to ensure compliance and accuracy, reducing the risk of denials. 4. Charge Capture Charge Entry: Accurately recording charges based on coding and services provided. Reconciliation: Ensuring all services are properly billed for optimal revenue. 5. Claim Submission Electronic & Paper Claims: Submitting claims efficiently to insurance payers, reducing processing times. Claim Scrubbing: Reviewing claims to catch errors before submission. 6. Payment Posting Insurance & Patient Payments: Recording and reconciling payments to ensure accuracy. 7. Denial Management Denial Analysis & Resolution: Identifying and resolving denial issues to recover lost revenue. Appeals Management: Preparing and submitting appeals for denied claims. 8. Patient Billing and Collections Patient Statements & Payment Plans: Generating statements and offering payment plans for outstanding balances. Collections Management: Handling overdue accounts and working with collection agencies when necessary. 9. Reporting and Analytics Financial Reports & KPIs: Providing detailed reports and performance metrics to identify areas for improvement. Performance Analytics: Analyzing the revenue cycle to enhance efficiency. 10. Compliance and Consulting Regulatory Compliance: Ensuring adherence to HIPAA and other regulations. RCM Training & Consulting: Offering training and process improvement advice to optimize your revenue cycle. 11. Technology Solutions RCM Software Integration: Implementing and managing software to streamline processes. Data Security & Automation: Ensuring secure handling of patient data and utilizing automation for efficiency. 12. Customized RCM Solutions