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+1 916 282 9777
+1 916 282 9777
Is your revenue bleeding? Our medical billing audit services includes reviews of the health records that you are maintaining, and the medical billing data submitted to payers to identify, monitor and correct inappropriate billing practices. We ensure that we identify any billing deficiencies in your RCM system and optimize it as we go. Our audit services include revenue cycle audit, coding audit, reimbursement audit, claim audit and compliance audit.
Our eligibility verification services and benefits verification services are combined to ensure that healthcare providers are fully informed about patients’ insurance coverage before rendering services. We verify patients’ insurance details, including coverage limits, co-pays, deductibles, and out-of-pocket costs, helping prevent claim denials and delays. By confirming patient eligibility in advance, we streamline the billing process and claim processing, reduce financial risk, and improve cash flow for healthcare practices, allowing providers to focus on delivering care while we handle the administrative details.
Our prior authorization services help healthcare providers secure necessary approvals from insurance companies before services are rendered. We manage the entire process, from gathering required patient and procedure information to submitting requests and following up with payers, to ensure fast prior authorization. By handling processes efficiently, we reduce the prior authorization turnaround time, further reducing delays in patient care and minimize the risk of claim denials. Our expertise ensure that healthcare providers meet payer requirements and receive timely reimbursements through prior authorization tracking, allowing them to focus on delivering high-quality care without administrative hassles.
Our A/R follow-up services and denial management services are collectively designed to optimize revenue recovery for healthcare providers. We proactively track and manage accounts receivable, ensuring timely follow-up on unpaid claims through management of claim appeals. Our team identifies and resolves claim denials, analyzing the root causes and implementing corrective actions to prevent future issues. With a dedicated focus on maximizing collections and reducing outstanding balances, we help providers improve their financial performance while minimizing the administrative burden.
Our medical billing services include precise medical charge entry and efficient insurance claim submission to ensure timely reimbursement for healthcare providers. We accurately enter billing codes and charges, ensuring accuracy and compliance with payer requirements. Our team submits claims promptly, including both electronic claims and paper claims, to insurance companies and follows up to minimize denials and delays. With a focus on reducing errors and expediting the payment process, we help healthcare practices maintain a healthy revenue flow and focus on patient care.
Our appeals filing services ensure that denied or underpaid claims receive the attention they deserve. We handle the entire appeals process, from reviewing the reasons for denial to gathering the necessary documentation and submitting a well-structured appeal to the insurance company. Our team works diligently to overturn denials, recover lost revenue, and advocate for the rightful reimbursement of healthcare providers. With a strategic approach to appeals, we help minimize revenue loss and improve overall claim success rates.
Our payment posting services provide accurate and timely recording of payments received from insurance companies and patients. We ensure that all payments, adjustments, and denials are correctly applied to patient accounts, offering a clear view of financial performance. By carefully reconciling payments with claims, we help healthcare providers maintain accurate revenue records and quickly identify discrepancies for resolution. With our precise payment posting process, we streamline the revenue cycle, reduce errors, and improve cash flow for your practice.
We offer credentialing and enrollment services as a valuable add-on to our medical billing solutions. While there is an upfront charge for these services, the fee will be fully waived off from future billing invoices. Our team manages the entire process, from submitting applications to tracking approvals, ensuring that healthcare providers are enrolled with insurance networks in a timely manner. This service allows providers to focus on patient care while we take care of the administrative details, ensuring compliance and minimizing delays in reimbursement.
All you have to do is fill out the form on the right and as soon as we receive it, a member of our team will reach out to you. We will discuss your particular requirements a suggest a way forward accordingly.
Phone : +1 916 282 9777
Monday - Friday : 09:00-17:00
Call : +1 916 282 9777
info@medicalbillingncoding.com
1401, 21st ST, Suite 11072 Sacramento, California, 95811