Get Reimbursed Faster and Better
MedBillingExperts’ professional and efficient offshore hospital billing services is designed to help hospitals eliminate costly errors and operate at top potential. Our in-depth knowledge of insurance eligibility verification and extensive experience in claims processing will help hospitals increase net revenue without affecting customer satisfaction and losing precious time, money, and resources.
Our End-to-End Hospital Billing Services
Being a premier hospital billing company, we are well-equipped to handle array of outsourced hospital billing services including:
We specialize in performing pre-insurance verifications before the patient arrives at a provider’s location. As part of this process, we check whether the patient is eligible for the insurance benefits under their policy and whether there is any requirement of pre-authorization or referral. All the co-payment that needs to be made along with deductible is also calculated. During this process, the co-insurance from the patient’s side, as well as whether the procedure or service provided falls under the insurance cover provided, is also determined. For many providers this step is vital, as it helps their claims to sail through smoothly, especially in the case when insurance providers do not support retro-authorization.
The process begins with you providing us with the patient medical record either via VPN data transfer or by permitting us access to your practice management system. Before the actual coding process, the medical coder refers to different sources within the patient′s documentation such as doctor′s transcription, diagnostic test reports, imaging reports and other sources to verify the services rendered. The same coding method is followed throughout the medical coding process to maintain consistency. Next our medical coders, who are highly trained to handle CPT, ICD-9-CM, LMRP and HCPCS level II coding, assign appropriate codes that are in-line with defined standards while avoiding up-coding or down-coding errors. The diagnosis and assigned codes are verified for compatibility. Discrepancies, if any, are suitably modified.
Every step of the coding process is subjected to stringent quality checks wherein our quality specialists conduct several rigorous audits for ensuring highest level of accuracy and preventing up-coding or down-coding mistakes before providing coded charts to our clients.
We enter charges from the coded documents into correct patient accounts. If the patient is a new entrant and doesn’t hold an account yet, then we create a new patient account and automatically fill all the demographic details captured from the respective patient registration form. Also, before every claim is transmitted to the insurance provider through the clearing house, the entered charges are thoroughly audited by the Quality Assurance (QA) team, thereby ensuring that only '100% clean claims' goes out of the system.
When we receive scanned EOBs (Explanation of Benefits) and checks, our team of experienced medical billing experts ensure that every minute details pertaining to the payment are filed into the system. As part of their task, they also ensure that the payment details are updated into appropriately patient accounts and initiate the denial management process in case of actual denials. They ensure that reconciliation is a continuous and ongoing process.
Accounts Receivable Follow-Up
We keep the accounts receivable (AR) days of the claim to the minimum by ensuring that every unpaid insurance claim is resolutely pursued until they are paid. Our accounts receivable management team also ensures that denied as well as underpaid claims are appealed within the shortest possible time to ensure that they are processed and paid correctly.
Every claim which is denied is rigorously analyzed by our denial management team. Once we identify the reason for denial, we fix the issue and re-file the denied claim. If the claim is denied due to issues such as lack of adequate information, then the gaps are filled promptly; and if the claim is denied due to shortcomings on the patient side, then the claim is billed to patient.
Patient Follow-up/ Patient Statements
Our patient follow-up process ensures that pending balances due after processing an insurance claim are collected from patients. We also ensure that full statements for patients are prepared and filed every week/month as per the requirement of the client.
We are geared to ensure patient follow-up happens via phone calls and in case of non-payment these are automatically moved to collections.
We offer credit balance processing for both payer as well as patient, after validating that it is a case of overpayment. This service ensures that timely and accurate refunds are received by the appropriate entity.
Credentialing and Enrollment of Providers
We are well equipped to file applications of every type along with necessary paperwork with the chosen payer networks and government entities on your behalf.
Our Hospital Billing Software
Unlike other hospital billing outsourcing companies, we are proficient in working with every major medical billing software including:
- eClinicalWorks ®
- AdvancedMD ®
Why Outsource Hospital Billing Services to MedBillingExperts?
When you outsource hospital billing and collection services to an expert medical billing company such as MedBillingExperts, you can leverage the benefits of:
- Experienced Medical Billers (CPT, HCPCS, ICD-9/ICD 10 coding Level I, II, III)
- Dedicated teams led by agents with minimum of 3 years up to 11 years of experience
- Coders and billers up-to-date with latest CCI edits, laws and compliance regulations
- Extensive coding capabilities across multiple specialities
- Proficiency in regulations related to Medicare, Medicaid, managed care, third party liability, workers’ compensation, Preferred Provider organizations and indemnity insurers
- Thorough internal quality control practices to provide error free billing
- Assured turnaround time (24 – 48 hours based on volume)
- Comprehensive and continuous training for aggressive AR follow-ups of un-paid claims
- Guaranteed 98% or above accuracy
- Global delivery model (from 8 delivery centers)
- Significant cost saving up to 50% of your current cost/expenses
When you outsource hospital billing services to MedBillingExperts, you’ll partner with an expert hospital billing company that has extensive experience in maximizing profitability and minimizing errors by streamlining your billing operations.
Contact us today and discover the advantage of outsourcing hospital billing and coding services to MedBillingExperts.