Medical Billing Fee : 5%
5% fee includes:
- Charge Entry
- Payment Posting
- Submission primary Insurances
- Submission Sec. insurances
- Claims Rejections
- Work on Denials
- Appeals on claims
- Work on Credit Balance
- AR follow–up
- All types of reporting
- Coding Review*
- Coding Review*
- Patient billing*
*For Coding review/audit, we charge $2 fee and patient billing $1.
Credentialing
We will charge you
$100 per payer per provider.
- ERA Setups- No Extra Fee
- EFT Setups – No Extra Fee
- EDI Setups – No Extra Fee
- Demographic updates- No Extra Fee
IT Support and Automation
We are offering fully managed IT solutions.
- IT Support
- Data Management & Portability
- System automation
- Website Development
- Android and IOS mobile applications
- Healthcare IT Consultation
Working Structure
- Charge entry within 24 hours.
- Claim Submission within 24 hours
- Updating Deposit
- Deposit Reconciliation
- Payment Posting
- Posting Confirmation
- Resolved daily Rejections
- Worked on daily Denials
- Suggestion on denials if we can prevent
- Daily work on claims
- Work with Dr. office on insurances and patient credit balances.
- Daily coding review to make sure coding is correct.
- Suggesting combinations to office to prevent if any coding issues
• One Team will work on 30- 120 days AR.
• 2nd team work on 120
plus.
• Corrective actions after 15 days electronic claims and 25 for paper claims.
• Appeals where required.
• Calls to get status.
• Check status by using online portals.
Monthly/Quarterly Management Report – Practice analytical
Each month/quarterly our team will prepare analytical presentation for your management to show complete analysis on practice.
Presentation will show monthly/quarterly comparison with last three months avg. or last quarter.
Analytical Samples are …
- Overall Charges
- Charges by insurances/provider.
- No of patients by insurances/provider.
- No of visits by insurances/provider.
- Rejections by insurances/provider. Also comparison with healthcare industry avg.
- Denials by insurances/provider. Also comparison with healthcare industry avg.
- Overall Payments .
- Payments by insurances
- Patient payments
- Insurances Aging by bucket/providers . Also comparison with MGMA healthcare industry avg.
- Patient Aging / by providers
- Credit Balance
Accounts Receivable & Appeal Follow-Up Procedure
HIPAA Compliance – Data Security
- No data stored on local drives
- Well documented and implemented user Users can access only relevant data.
- System / servers are not accessible outside the company
- No removable drives are allowed
- Paperless work – No printer rights
- Each system is protected with user id / password
- Restricted websites access
- Monthly compliance / data security OJT
- CCTV Camera monitoring
- Cell phones on work places are not allowed
