In order to avoid payment delays or denial of payments it is important that every insurance policy is verified and validated before every appointment. We make use of payer websites or call the payers to verify current benefits and eligibility and update the information in the respective patient’s account to ensure your services are covered and paid.
Patient Registration & Charge Entry
Patient Registration and Charge Entry includes capturing patient demographics after verifying face sheets, entering treatment details based on Insurance specific guidelines and following up with the client for any missing charges and reviewing claims prior to submission.
Even minor typographic errors such as misspelled patient names, incorrect entry of birth dates and insurance identification numbers will lead to claim rejections causing payment delay, we make sure every demographic and charge is entered carefully and accurately.
We use certified coders to avoid inappropriate coding and coding errors to ensure services are correctly billed and we report to physicians in case of codes marked in the super bill not matching with the corresponding medical record.
Our experienced cash posting team carefully analyses Insurance correspondences, payment receipts to post the payments correctly. Underpaid claims are appealed immediately and overpaid claims are reported to providers on a monthly basis.
Denial Management & AR Follow Up
Every denial is investigated carefully to find out the root cause and appropriate action is being taken by sending appeals and calling the payers to reprocess the claims. This denial scenario will be recorded for internal quality and training purposes to avoid recurrences of the same denial in future.
If claims are not paid within 30 days of submission, payers will be called by our experienced AR callers to check status and take appropriate action to expedite payment.
Patient Billing & Follow Up
Selfpay patients and patients with out of pocket responsibility such as co-pay, co-insurance and deductible will be sent statements. If required, calls will be placed to patients about their outstanding dues.
Provider Enrolment and Credentialing
Are you a new provider or an existing provider trying to renew your contracts? We take the stress out of you by filling up the necessary forms, faxing or mailing them to insurances and follow up with them to expedite processing. We offer this service at a very reasonable price.
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24/7 service. Same Day Appointments are Available.