The following chart describes our medical billing services in detail:

Description

We use a HIPAA compliant process and trained college graduate offshore professionals to deliver the following services to third-party medical billing companies:

• Charge Entry
  • Data Entry of Charges, Payment and Patient Demographics
• Coding
  • CPT & ICD-9 & HCPCS coding across various specialties
  • Appropriate Modifiers
  • Coding Reviews, Validations and Verifications
  • Final In-House Quality Audit
• Electronic Claims Submission
  • HIPAA compliant billing of Medicare, Medicaid and Blue Cross Blue Shield
  • Electronic billing of Commercial Carriers
  • Generation of Secondary/Tertiary Claims.
• Comprehensive Insurance Follow-up
  • Actual calling of insurance companies to determine status and expedite payment
  • Follow Up On Pending Claims
  • Correspondence
  • Accurate tracking & posting of EOBs
• Accounts Receivable Analysis & Management
  • Analysis of Underpaid & Rejected Claims
  • Investigation and Appeal Denied Claims
  • Device Techniques to Retrieve Due Payments
  • Monitor Collection Performance with Statistical Reports
  • Monthly A/R Report
• Patient accounting
  • Patient Statements
  • Patient follow-ups and Soft Collections
  • Handle patient billing inquiries
• Reporting
  • Monthly Billing Report
  • Accounts Receivable Summary
  • Insurance Follow-up Report
  • Updated / Expected Payment Report
  • Claims Status Summary
  • Claim List Detail by Carrier
  • Procedure Code Summary
  • Submission Report
  • Delinquency Report
  • Customized Reporting