Our Process

  • Collection of patient demographic information, including personal & contact information. Patient referral or appointment scheduling. Collecting patient health history and checking patient insurance coverage.

  • Analyzing the correct procedure terminology (CPT) and identify the correct diagnosis (ICD-10) in the medical billing process and ensure the accuracy of data.

  • Reviewing Physician and facility records, verifying billing and insurance information to ensure the accuracy of patient medical data.

  • Reviewing claims prior to submission to insurers to check that they're accurate, therefore, increasing the chances that each claim is paid out in a timely manner.

  • Reprocess all rejected and denied claims (paper or electronic) in a timely matter.

  • Claims are logged into the billing software, insurance payments are posted against claims, patients are billed for outstanding amounts, and patient payments are posted against outstanding balances.

  • Resolving any problems leading to medical claim denials. This process will also mitigate the risk of future denials, ensuring that practices get paid faster and enjoy a healthy cash flow.

  • Looking after denied/rejected claims and refiling them to receive maximum reimbursement from the insurance companies.

  • A printed bill that displays the details such as the amount that each patient has to pay, service dates, charges, and transaction descriptions along with the patient's demographic details.

  • Resolving overdue bills and collecting payments from the patient for the debt.

  • Summary of a Practice’s financial statements including an executive summary, highlights, and future goals and objectives.

  • Help reduce costs and optimize efficiency, revenue generation, and structural improvements. Guiding management to make better decisions and, in effect, improve the organization’s profit potential.