Medical Billing

Insurance Verification

Insurance verification and approval are vital in accelerating the physician’s compensation process. Health insurance verification services involve examining the active coverage of patients with the insurance company and related details. It plays a significant role in the practice’s claim denial management plan. 

Patient Invoicing

In certain cases, insurance may not cover a patient transaction. In other cases, the insurance deductible may not have been met. In both scenarios, it will be necessary to invoice the patient. Identifying this before the patient’s engagement and notifying the patient ahead of time eliminates a surprise to the patient and a delay in payment.

Quality Assurance and Quality Control (QA/QC

Both quality assurance and quality control are two important functions of quality management. Effectively managing those functions can expedite the process of claims and ultimately increase your billing processes.

Claim Submissions

The health check billing or medical billing of insurance claims process starts when a healthcare supplier treats a patient and sends a bill of services provided to a chosen payer, which is usually a health insurance corporation. The payer then evaluates the declared claim based on several factors, determining which, if any, services it will pay.

Aging Accounts Recuperation

Aging accounts receivable is the process of distinguishing open accounts that you can identify within your billing time frame to obtain unrealized revenue.

Coding

Coding is a critical component of any medical practice. Accuracy is vital to patient safety, rapid payment, and efficient operations.

Denial and Appeal Management

The disagreement and denial administration team establishes a trend between individual payer codes and common denial reason codes. This trend tracking helps to disclose billing, registration, and medical coding process weaknesses that are then corrected to reduce future denials.

Revenue Cycle Management

Utilizing Revenue Cycle Management (RCM) can efficiently help providers identify and achieve higher revenues, optimize workflows, and reduce overall expenses.

Businesses

We Serve a Variety of Healthcare Fields

 

EMS

Independent Physicians

Medical Groups

Physician Specialists

Contact Us

210-598-6868

12000 Network Blvd.
Suite 410
San Antonio, TX 78249

Monday-Friday: 8am - 5pm

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