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Billing efficiency & process improvement

Our expertise ensures:

  • Optimized collection of patient demographic data and related insurance information

  • Collection and processing of payments (co-payments, co-insurance, deductibles)

  • Accurate data processing and healthcare claim control in practice management software (PMS)

  • Process optimization of adjudication and account reconciliation

  • Full HIPAA and regulatory compliance in every transaction

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Our specific services:

  • EHR / EMR consulting for medical billing

  • Provider credentialing

  • EHR / EMR implementation

  • Individual account exectuive

Optimized reimbursement cycle:

Patient visit

  • Patient demographic data collection

  • Insurance check & data collection

  • Processing of patient pre-payments

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Provider diagnosis

  • Superbill / Encounter form

  • ICD & CPT codes

Practice management system

  • Data entry of all information

  • Create healthcare claim & upload

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Clearing house

  • Claim check & possible corrections

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Insurance payer

  • Claim check

  • Adjudication proces

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APPROVAL

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Remittance advice
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DENIAL

RE-SUBMITTANCE

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Claim corrections & re-submittance
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Practice management system

  • Apply payments & adjustments

  • ERA / EOB

  • Apply payments / adjustments

  • ERA / EOB

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Account reconciliation

  • Outstanding patient bills

  • Accounting statements

  • Co-insurance / Co-payment / Deductible

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Healthcare claim settlement

  • Final patient payments

  • Account collection

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