Billing
Management

We provide complete and accurate information at the point of service, which could efficiently help manage the practice's cash flow. So as such, our services include the:

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• Insurance Billing and Revenue Management

• Coding: CPT codes, ICD-10, modifiers and edits review  

• Submission of claims to insurance companies 

• Resolving ERA Rejections 

• Posting payments and insurance denials in EMR

• Payment reconciliation: between bank transactions, EMR posting, credit card transactions, and manual log maintained by the front desk 

• Resolving credit balances  

• Denial Management and insurance follow up 

• Claim resubmissions and appeals submissions to insurance companies 

• Preparing billing statements and sending them to patients

• Keeping up with CMS guidelines, payer updates, and coding: CPT, HCPCS, ICD-10, and modifiers 

• Periodic review of documentation to optimize coding  

• Periodic review of fee schedule and revision

• Providing reports to the Medical Practice: Payment reports, AR bucket reports, AR progress reports, Payer mix, and denials report