We provide the following medical billing services:
Coding
Analysis & review of records to assign CPT & ICD-10 diagnosis codes
Charge entry
Enter procedures, diagnoses, patient's insurance and demographics onto claims
Claims Submission
Submit primary, secondary & tertiary claims both electronically &/or by paper to Major Medical, Medicare, Medicaid, Work Comp, Motor Vehicle Accident and PI insurances
Payment Posting
Electronic and paper payments from insurance and/or patients
EOB/ERA review to ensure maximum reimbursement
Denial Management
Diligently identify denied & rejected claims, prepare corrected claims and resubmit to insurance in order to receive proper payment, compose & file appeals &/or reconsideration letters as needed
Claims Aging Follow Up
Review each claim on the aging reports, investigate why claim hasn't been paid,
follow necessary actions required to receive payment
Medical Billing & Coding Audits
Examine and evaluate everything from claims, ICD/CPT Coding & clinical documentation to processes of insurance verification, claim submission, payment posting, denial management and follow up,
verify accuracy, identify errors, express potential risks & suggest strategies for improvement
Clearinghouse Enrollment
Facilitate the process of enrollment with clearinghouse
assist in transferring from paper EOB's to ERA's (Electronic Remittance Advice)
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