Medical Coding and Billing services are being outsourced to a very large extent.
It cuts costs up to 40-50% which increases savings.
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Typical Services that are Outsourced
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- Patient Registration.
- Charge Entry.
- Entering and submitting primary and secondary commercial claims along with attachments.
- Entering and submitting Monthly, Worker's Compensation Claims along with attachments.
- Entering and submitting primary and secondary commercial claims, up to six CPT lines
per date of service.
- Entering and submitting Monthly Workers Compensation Claims with required attachments.
- Entering and submitting Monthly Motor Vehicle Accident Claims with required attachments.
- Following up with insurance carriers and/or the clearinghouse to ensure acceptance
of claims.
- Checking the status of claims.
- Producing Patient Statement.
- Payments posting.
- Tracking unpaid procedures and sending Letters of Medical Necessity, as required.
- Resubmitting claims to insurance carriers, if desired.
- Notification to clients regarding 'Incomplete Claims'.
- Denial Management.
- Reconciliation.
- Returned mails.
- Refunds.
- Provider Data updates.
- Speciality Options.
- Reports-Monthly reports on accounts receivable pending, claims submitted, unable
to bill out patients, etc.
- And other such related services.
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Benefits
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- Speed up collections from claims or recovery of patient bills.
- Obtain prompt payments from insurance carriers and patients against medical bills
while lowering overhead costs.
- Advanced technology support Service providers utilize the best of technologies to
ensure perfect flow of information and are flexible to adapt to any technology used
by you.
- Reporting productivity statistics Productivity Statistics are listed and communicated
with the client.
- Compliance with regulations Compliance with state and federal regulations is assured
as legal and medical experts are employed to ensure strict conformity to policies
and rules.
- Quality assurance Field experts perform QA checks.
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