21+
Years of Experience
1000+
Experienced Resources
200+
Satisfied Clients
Precise Medical Billing to Boost Your Financial Health
The medical billing process involves several key steps in which a healthcare provider interacts with insurance companies and patients to obtain payment for services rendered. Submitting accurate claims and securing reimbursement can be challenging and time-consuming for physicians. With extensive experience in providing medical billing services, we can help you easily navigate the various steps involved in the process.
Our streamlined medical billing process ensures that your claims are submitted accurately and promptly. We adeptly handle the required paperwork, simplifying the interaction with insurance companies. Our systematic, step-by-step approach eliminates all possibilities of inaccuracies and errors and optimizes the claim submission process, improving your bottom line.
Partner with us for HIPAA-compliant, cost-effective medical billing solutions that save 30% to 40% of your operational costs.
Steps in the Medical Billing Process
1
Patient Registration
Claim Submission
6
2
Insurance Verification
Payment
Posting
Posting
7
3
Medical
Coding
Coding
Patient
Collections
Collections
8
4
Charge
Entry
Entry
Denial
Management
Management
9
5
Claims Scrubbing
AR
Management
Management
10
1
Patient Registration
2
Insurance Verification
3
Medical Coding
4
Charge Entry
5
Claims Scrubbing
6
Claim Submission
7
Payment Posting
8
Patient Collections
9
Denial Management
10
AR Management
We closely monitor the performance of your billing process. By identifying optimization opportunities, we work to maximize your revenue cycle and drive improvements.
Here’s an overview of our 10-step medical billing process:
Patient Registration or Check-in
Obtaining patient information, including personal details, insurance coverage, and demographic data.
Insurance Verification
Verifying patient insurance coverage to determine the extent of benefits and ensure accurate billing information.
Medical Coding
Assigning appropriate medical codes (ICD-10, CPT, and HCPCS) to describe the diagnosis and the services to the patient during the encounter.
Charge Entry
Entry of the coded information into the billing system, specifying the services rendered, along with associated charges.
Claims Scrubbing
Verifying the accuracy of medical codes used on the claim and ensuring they are supported by the patient’s medical documentation
Claim Submission
Submitting accurate and timely claims that meet payers’ requirements, reducing risk of denials and delays
Payment Posting
Recording and reconciling payments received from insurance companies and updating the patient’s account with the information.
Patient Collections
Billing patients and securing payments due from them by sending reminders, making phone calls, or using payment plans.
Denial Management
Addressing and resolving claim denials promptly, identifying and rectifying issues to ensure successful resubmission.
Accounts Receivable (AR) Management
Tracking and managing outstanding accounts receivable, following up on unpaid or underpaid claims to maximize reimbursement.
We serve all 50 states
What Our Clients Say
Why Choose Us
- Dedicated manager
- Expert certified coders and billers
- Customized billing solutions
- Integration with practice software
- Proactive denial management
- Excellent QA support
- Cost-effective and flexible pricing plans
- No long-term yearly contracts
- No set up fees or training fees
- Proven track record
- HIPAA compliant
FAQs
How do you handle denials and minimize revenue loss?
Proactive denial management is a core aspect of our strategy. We swiftly identify and resolve issues to minimize revenue loss, ensuring a streamlined reimbursement process and financial stability for your practice.
Can you ensure compliance with healthcare regulations?
Yes, compliance is a top priority. Our dedicated team ensures that your billing practices align with ethical and legal standards, providing you with peace of mind and a foundation for long-term success.
How do you handle patient billing and ensure a positive experience?
Our patient-centric approach extends to billing. We design our processes to be transparent, clear, and patient-friendly, contributing to overall positive experiences and satisfaction.
How do you handle accounts receivable management?
Our experienced team expertly manages accounts receivable, overseeing outstanding payments and following up on unpaid or underpaid claims to maximize reimbursement for your practice.