Medical Billing, Coding, Invoicing & Payments Services

• Pre-Certification & Insurance Verification
• Patient Demographic Entry
• CPT, HCPCS (Level 1 & 2) and ICD-9 Coding
• Charge Entry
• Claims Submission
• Payment Posting
• Account Receivable Follow-up
• Danial Management
• Many More Client Specific Medical Billing Services (Customized)

• Accounts Receivables Management
• Data Entry of Patient Information
• Entry of CPT & ICD Codes and Charge Entry Details
• EOB Entry
• Many More Client Specific Hospital Billing Services (Customized)

• Data Entry Patient Demographics, Referring Physician, CPT and ICD Codes, and Modifiers in Entered into the Medical Billing Software
• Scan the Documents for Billing Errors and Correct Them If Needed
• Adjudicate Client Claims for Accuracy
• Preparation of Explanation of Benefits (EOBs)
• Submit and File the Claim with the Insurance Company
• Follow-up on the Claims with the Insurance Company
• Apprise you of the Status of the Claim
• Process Denied Claims and Re-adjudicate them for Claims Submission
• Many More Client Specific Medical Claims Processing Services (Customized)

• Disability Claim Forms
• Dismemberment Claim Forms
• Critical Illness Claim Forms
• Hospitalization Claim Forms
• Death Claim Forms
• UB (Uniform Billing) Data Entry Services
• HCFA (Health Care Financing Administration) Data Entry Services
• CMS (Centers of Medical & Medicaid Services) Forms
• ADA Claim Forms
• Data Management Services
• Many More Client Specific Insurance Claims Services (Customized)

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• Please Click Insurance Services for more information

• Manual Re-pricing of Claims
• Routing Claims to the PPO for Re-pricing
• Checking and Verification of Claims
• Provider Table Maintenance
• Many More Client Specific PPO Health Insurance Claims Re-pricing Services (Customized)

• Debt Collection Services
  • Payments Follow-up
  • Invoice Adjustment
  • Dispute Resolution
  • Claim Management
  • Many More Client Specific Collection Services (Customized)
• Billing Preparation
• Record and Account for Revenue
• Entering Receivable Transactions into the Accounting System
• Preparing and Delivering Periodic Statements
• Issuing of Credit Memos and Refund Checks Approved by the Customer
• Maintaining Subsidiary Receivables Ledger
• Carrying out Process Adjustments Approved by the Customer
• Applying Cash Received to Customer Accounts and Resolving Shot Pays
• Preparing Accounts Receivable Reports
• Account Receivable Deductions Management Services
• Many More Client Specific Accounts Receivable Services (Customized)

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• Please Click Account Receivable Services for more information

• Client Specific Denial/Reject Medical Claim Management Services

• Reading and Analyzing EOB
• Analysis Based Action
• Inflow Statement
• Many More Client Specific Payment Posting Services (Customized)

• Pre-admission and Pre-registration Processes Including Insurance Verification
• Patient Admission/Registration and Patient Stay Management
• Clinical Documentation
• Charge Capture
• Medical Coding, Patient Health Information Entry and Management
• Medical Billing
• Claims Review, Approval and Denial Along with Insurance Company Relations Management
• Patient Accounts Management
• Constant Follow-up for Outstanding Payments/Accounts Receivable
• Review of Reasons for Non-payment and Corrective Measures Adopted for Better Revenue Realization
• Many More Client Specific Revenue Cycle Management Services (Customized)

• CPT and HCPCS (Level 1 & 2) Coding
• ICD-9-CM Coding
• Many More Client Specific Coding Services (Customized)

Indexing Services for Following Records:

• Insurance Bills and Information
• Health Insurance ID Cards
• Patient Demographics Sheets
• EOBs
• Clinical History
• Medical Charts
• Patient Records
• Medical Reports
• Healthcare Service Provider Notes
• Many More Client Specific Medical Records (Customized)

• Preparing Necessary Application Forms and Compiling All Needed Documents and Certificates
• Verification of All Records and Certificates
• Submission of All Records and Certificates
• Submission of All Forms and Documents, and Ensuring Faster Approvals
• Taking Care of All Medical Provider Enrollment Formalities and Medical Billing Credentialing
• Preparing Different Forms Based on Payer’s or Insurer’s Varied Terms
• Maintaining Each and Every Record Necessary for the Entire Process
• Keeping Track of Expiration of NYS Registrations, MA Registrations, DEAs, and CLIA Registration and Auto-handling Re-applications for the Same
• Processing Re-credentialing Whenever Needed
• Many More Client Specific Enrollment & Credentialing Services (Customized)

• Insurance Verification Services
• Patient Demographics Entry
• Charge Entry
• Claims Submission
• Appointment Scheduling

• Please Contact Us to discuss your specific outsourcing needs