CLAIM SCRUBBING
The process of to detect and eliminate errors in billing codes, reducing the number of claims to medical insurers that are denied or rejected.
CLAIM SUBMISSION
The process of determining the amount of reimbursement that the healthcare provider will receive after the insurance firm clears all the dues.
ELIGIBILITY
The process by which practices confirm information such as coverage, copayments, deductibles, and coinsurance with a patient’s insurance company.
MEDICAL BILLING CODING SERVICES
Medical coding involves extracting billable information from the medical record and clinical documentation, and identify correct diagnosis codes (ICD) for the procedures doctor performed on the patient.
PAYMENT POSTING
Payment posting refers to the viewing of the payments and the financial picture of medical practice. It also refers to the logging of payments into the medical billing software. It provides a view on insurance payments in EOBs, payments from patients, and insurance checks from ERAs.
ACCOUNTS RECEIVABLE
A medical account receivable refers to the outstanding reimbursement owed to providers for issued treatments and services, whether the financial responsibility falls to the patient or their insurance company
CREDENTIALING & ENROLMENT SERVICES
Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies. Only trusted, vetted, and verified insurance companies include healthcare providers to serve their customers.
PATIENT STATEMENTS
A patient statement is a medical bill. They can be sent to patients by regular mail or electronically. As a healthcare provider, you most likely spend a considerable amount of money on sending out patient statements. You may even have administrative staff whose sole duty is to manage medical billing.
QUALITY ASSURANCE
To audit the accuracy of the team’s work in medical billing and to coach and provide them regular feedback to improve their performance.
CUSTOMER SUPPORT
This includes communication by phone or secure email to answer any questions you may have regarding medical billing issues, client balances, claim status, etc.
CUSTOMIZED REPORTS
To provide detailed & summarized reports as per provider specialty and demands to that provider can be fully aware of how is the Billing is going.