Medical Billing

We understand the Importance of clean claim submission. Therefore, our billing department ensures that all bills are submitted with the correct & required information to avoid delays & denials. Our trained staff will audit & make sure the information related to patient demographics, CPT & ICD codes along with modifiers, number of units, and date of service are entered before submitting the claim. Therefore, we help you in efficiently managing your cash flow.

Submit claims promptly:

Submit claims to insurance companies in a timely manner to avoid payment delays. Establish efficient processes for claim submission, ensuring all required information is included and codes are accurately assigned.

Monitor claim status and follow-up:

Regularly monitor the status of submitted claims and follow up with insurance companies to ensure timely processing. Stay proactive in resolving claim rejections, denials, or delays by promptly addressing any issues and providing necessary documentation.

Stay updated on coding and billing regulations:

Stay abreast of coding and billing regulations, including updates to coding systems (e.g., CPT, ICD), payer guidelines, and industry changes. Regularly train staff on the latest coding and billing updates to ensure compliance.

Implement effective denial management strategies:

Develop strategies to effectively manage claim denials, including analyzing denial trends, identifying root causes, and implementing corrective measures. Implement a systematic process for appeals to overturn denials and maximize reimbursement.

Regularly review and optimize billing processes:

Conduct regular reviews and assessments of your medical billing processes. Identify areas for improvement, streamline workflows, and implement changes to enhance efficiency and accuracy.

Monitor key performance indicators (KPIs):

Track and analyze key performance indicators such as clean claim rate, denial rate, accounts receivable, and reimbursement turnaround time. Utilize this data to identify areas for improvement, set goals, and measure the effectiveness of your medical billing service.