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Billing and Claim Processing Services
Revenue Cycle Management Services.
4. We use the following industry coding standards:
* Diagnosis Codes (ICD-9: International Classification of Disease)
* Procedure Codes (CPT-4: Current Procedural Terminology)
* Coding for Inpatient Services (ICD-9)
* Drug Codes (NDC: National Drug Codes)
* Dental Procedure Codes (CDT: Current Dental Terminology)
* Other Procedure Codes (HCPCS: Healthcare Procedure Coding System)
5. Diligent Auditing:
Six Sigma oriented Quality Control department audits the coded charge sheets.
6. Process Patient Demographics Information:
Our team members process, verify and validate demographic information of
patient.
7. Claim Submission:
Claims to be submitted to the payer electronically using a clearinghouse.
8. Denied Claims Processing:
Denied claims are processed, analyzed, corrected, updated and prepared for
re-submission.
9. Extensive AR Analysis:
Experienced AR Analysts run insurance reports and identify claims over 30 days.
10. EOB Processing and Payment Posting:
Insurance payments are posted to the patient accounts from EOBs into the billing
agencies' existing software package.
11. Reporting:
Regular reporting enables billing agency to closely monitor performance and
provide feedback to improve the process.
Key Benefits
* As the company owner, you focus your time on bringing in new physician
accounts and not on hiring, training, and motivating ineffective staff.
* Our billing experts assist your staff in charge-entry, payment posting and
other manual chores while your billing staffs focus on negotiating payments with
payers and on improving collections for your physician customers.