Medical Billing Services

From where does the need of medical billing service arise?

Yes, you may have this question, however, have you ever thought of delayed claims,  recurring compliance changes and such other issues which impact negatively on your service quality.

We know that in healthcare best patient care is the core aim of the service provider, though we cant deny the fact that medical billing is a key process and a very extensive one when it comes to assisting patients and their families.

A medical billing service thus offers more of a streamlined process for verification of data, billing and claims, and details submission.

Certified and experienced professionals/billers follow quality-controlled processes which lay down the foundation for efficient billing systems and speed up the process of closure and follow-ups, as may be the case.

These services became more relevant for looking at the fact of time constraints with doctors as well as patients, as cases of medical treatment are considered to carry a level of exigency. The end-to-end medical billing services help cut operational costs or that you might be bearing by keeping additional resources, building own software etc.

The services that these coders provide include working on specialized software, tailor-made for these tasks and understanding the nuances and critical aspects behind the data used in medical billing. Apart from this accuracy and time sensitivity is paid attention to in detail.

So you may be an individual healthcare provider, a doctor or associated with a hospital or a community, the medical billing services may be the right choice for you to outsource the administrative work which does not sync with your core functioning.

These services may include but not limited to the following –

1.                   1. Patient demographic data validation and entry - The coders validate the patient demographic details, add and update the details on a real-time basis, and the model as per the client’s requirement.

2.                    2. Pre-certification and Insurance verification – Any process including completing pre-certification for lab or diagnostic tests which are mandatory prior to any surgery and the verification on the insurance claims.

3.                   3. Payment posting – All information related to the payments, reimbursements received, and any reconciliation statements are updated on daily basis.

4.                   4. Accounts – any receivables / pending payments, etc.- Factors including claim filing limit, time period of the claim, etc are done. Also, any period update required is followed up on the phone, or email, and the status is accordingly updated.

5.                   5. Claims submission - Processing and submission of documents, quality checks as defined, analyzing the rejection/acceptance reports, and making changes as required.

We understand the busy schedules any healthcare provider is looped in and hence these medical billing services are specifically designed to keep your stress at bay. Take the first step and reach out for an end to end-service support.