Outsourced Medical Billing Services

Accuracy & Precision

Our medical billers are at the core of revenue cycle management, ensuring proper payments are received in accordance with insurance carrier participating agreements, and liaising administrative communication between patients, physicians, and payers. Our goal is for every claim to be “clean” and compliant. A clean claim contains no errors and receives immediate attention from the payer, improving the likelihood that you receive reimbursement quickly and correctly. Attention to detail throughout every step of this process is essential.

We facilitate the set-up of manageable payment plans for patients in accordance with your patient payment policies.
We manage the collections process by alerting patients through Final Notices prior to referring accounts to your assigned collection agent.
Our customized monthly, quarterly, and annual reports allow clients to closely monitor all financial aspects of their practice.
On an annual basis, we review your customary fee schedule for adequacy and fairness as it relates to the No Surprise Bill Act.
We will review and update the Patient Financial Policies including those related to Collections, Small Balance & Refund Policy.

We stay current on all CPT-4, ICD-10 and Modifiers, including special requirements of third-party payers that may use substitute or HCPCS codes. This promotes efficient and accurate billing and reduces denials and unnecessary follow-up.
Insurance claims are scrubbed and filed on a regular basis.
We post payments within two days of receipt, most through use of electronic auto-post technology, while reviewing the payments for accuracy and proper reporting of funds.
We manage the appeal of denied and underpaid claims while ensuring timely re-submission to insurers through direct phone calls to carriers or written appeals when appropriate.