We offer medical billing services to many specialties, and we commonly get questions about solutions to problems, that we’ve tried to outline here as best we can!
1. Eligibility Verification & Pre-Authorization
Problem: Claim denials often stem from inactive insurance or uncovered treatments, forcing doctors to waste valuable time on paperwork while patient care suffers.
Solution: We verify patient insurance before appointments, confirming eligibility and pre-authorization needs upfront. This proactive approach eliminates preventable denials and accelerates the reimbursement process.
2. Charge Entry & Claim Submission
Problem: Simple errors in data entry, missing information, or incorrect coding can result in rejected claims, delaying payments and impacting revenue.
Solution: Our specialists ensure precise charge entry and accurate claim submission from the start, minimizing denials and expediting payments.
3. Accounts Receivable (A/R) Management
Problem: Practices struggle to manage unpaid claims and track pending reimbursements, leading to cash flow disruptions.
Solution: We proactively monitor and follow up on outstanding claims, ensuring timely payments and improved financial stability for your practice.
4. Denial Management
Problem: Piled-up denied claims require time-consuming rework, delaying revenue recovery and draining resources.
Solution: We analyze claim denials to identify recurring issues, correct them at the source, and appeal claims when necessary, ensuring maximum revenue recovery.
5. Payment Posting
Problem: Without a reliable system for tracking payments, practices risk revenue leakage and accounting discrepancies.
Solution: Our precise payment posting process ensures accurate financial tracking, reducing errors and keeping your revenue records transparent and up to date.
6. Compliance & Reporting
Problem: Poor financial oversight and compliance missteps can lead to penalties, audits, and lost revenue opportunities.
Solution: We provide comprehensive financial reports and ensure full compliance with healthcare regulations, keeping your practice audit-ready and financially secure.
7. Patient Billing & Collection
Problem: Confusing billing statements and ineffective follow-ups lead to delayed or unpaid patient balances, reducing collections.
Solution: We send clear, easy-to-understand billing statements and follow up diligently to ensure timely payments while maintaining positive patient relationships.
8. Medical Coding
Problem: Incorrect or outdated coding results in claim denials, audits, and revenue loss, as keeping up with changing regulations is challenging.
Solution: Our certified coders apply the latest industry standards to ensure precise, up-to-date coding, reducing denials and maximizing reimbursements.
9. Practice Analysis & Audit
Problem: Many healthcare providers lack visibility into their billing inefficiencies, leading to hidden revenue losses.
Solution: We conduct deep-dive audits and provide actionable, data-driven insights to optimize revenue cycles and uncover missed income opportunities.
10. Credentialing & Enrollment
Problem: Physicians miss out on patient opportunities due to incomplete credentialing, causing claim denials and reimbursement delays.
Solution: We manage credentialing and insurance enrollments, ensuring seamless provider network participation so you can treat more patients without reimbursement issues.