Alleviate Extensive Task In Managing Medical Claims
We provide education & training to healthcare professionals on how to translate documentation into CPT procedures & ICD-10 diagnosis codes that are taken from the patient's medical record to ensure accuracy.
We perform claim submissions in a timely fashion, and follow up on the claims status, authorization status, and denied claims. This is to ensure that reimbursements are received from health insurance payors for services rendered by healthcare professionals.
We will verify that payments received from health insurance carriers will be accurately posted to patient accounts. This process will avoid incorrect reimbursement payments.
Front Desk Management Service
We will train your front desk staff on how to verify a patient’s eligibility through insurance carrier portals. This will inform your staff of patient’s payment responsibility (co-payments, deductible, and co-insurance). A note will be documented in your Electronic Medical Records system of patient eligibility status and the patient's payment responsibilities.
We will train your staff how to enter a patient’s demographic (name, address, social security number, age, gender, telephone number, insurance ID, and group number) information accurately in your Electronic Medical Records system. Correct information is vital to avoid insurance carriers denying payment due to demographic errors.
The patient's next appointment is scheduled correctly in your Electronic Medical Records system. If necessary, the patient will receive a referral for a specialist, laboratory forms, and verify the patient’s telephone number. This is to ensure that you can contact the patient as a courtesy reminder of their next appointment.