Services

Charge Entry: Ensuring accurate recording of billable items.

Charge entry is a crucial step in the medical billing process. It involves accurately recording the services provided to patients and the corresponding charges. This service ensures that all billable items are correctly documented and entered into the billing system, reducing the risk of underbilling or overbilling.

Payment Posting: Efficiently managing received payments.

Payment posting involves the systematic recording and allocation of payments received from insurance companies, patients, and other sources. It ensures that payments are accurately applied to the corresponding claims, helping healthcare providers maintain an organized financial record.

Denial Management and Appeals: Maximizing claim reimbursement.

Denial management involves identifying and addressing claims that insurance companies have denied. This service includes investigating the reasons for denials, making necessary corrections, and resubmitting claims. If a claim is unjustly denied, appeals may be filed to dispute the decision and secure rightful reimbursement.

Provider Credentialing: Ensuring providers are eligible for reimbursement.

Provider credentialing is the process of verifying and maintaining the qualifications and certifications of healthcare providers. It is essential for healthcare professionals to be credentialed with insurance companies and healthcare organizations to be eligible for reimbursement. This service ensures providers meet all the necessary requirements and paperwork for credentialing.

Claims Submissions: Timely and compliant submission of claims.

Claims submissions are the process of preparing and submitting medical claims to insurance companies and government healthcare programs. This service ensures that claims are accurate, complete, and compliant with all regulations, increasing the likelihood of timely reimbursement.

Accounts Receivable: Effective management of outstanding accounts.

Managing accounts receivable involves tracking and following up on outstanding payments from insurance companies and patients. It includes monitoring the aging of accounts, sending reminders, and addressing any issues that may be delaying payment.

Clinical Documentation Improvement: Enhancing the quality of medical records for improved patient care.

Clinical documentation improvement focuses on enhancing the quality and accuracy of medical documentation. This service helps healthcare providers maintain comprehensive and detailed patient records, which not only supports accurate billing but also improves patient care and outcomes.