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Hospice Billing Services

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Hospice Billing Services

Are you experiencing an increasing volume of claim denials because of hospice coding and billing mistakes? If yes, you must be witnessing a significant decline in your organization's revenue. One of the critical steps of hospice billing requires verifying the hospice eligibility, which includes checking the patient's benefit period, care period, and MSP (medical services plan).

At MediCodeBill, we combine the best of technology and expertise to ensure that you receive full reimbursement at the stipulated time. Our reimbursement managers and medical billing support executives are expert in submitting clean & accurate claims, thus, freeing you from the concerns of RAC and ZPIC audits.

Services

If you seek to collaborate with an established company for Medicare hospice billing, look no further.

Patient Demographic Entry

We can sort all your patient demographic entry requirements with the assistance of our experienced team of healthcare support executives. They can review patient admission forms and accurately enter those into the Electronic Health Record (EHR) or Practice management software. They do this by our multiple layers of cross-checking and verification process that ensures that the entered data are 100% correct.

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Claims Submission

We can collect medical receipts, file claims, and submit a complete and final claim form, including all the relevant information such as member ID, group ID, co-pay information, insurance coverage dates, etc.

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Accounts Reconciliation

When you hospice billing services, we can help you avert fraud and legal issues by verifying the accuracy of your patient' account. Our skilled account reconciliation team is expert in identifying the errors & inconsistencies in the account. And, if they find any, they can correct those. This will enable you to submit clean claims and obtain complete reconciliation reports of payments and billing information from various payers.

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Accounts Receivable
Follow-up

Our hospice billing services can keep the AR days of the claim to the least. Our team keeps track of the pending claims and follow up with the payers for collections and pursue the payers in case the claim is not reimbursed on time.

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Denial Management

Through our extensive experience in the offshore hospice billing services, we can draw the whys and wherefores for claim denials. After understanding the key reason(s) to claim denials, our AR specialist will follow-up with the payer and re-submit the claim according to the prescribed norms.

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Patient Demographic Entry

We can sort all your patient demographic entry requirements with the assistance of our experienced team of healthcare support executives. They can review patient admission forms and accurately enter those into the Electronic Health Record (EHR) or Practice management software. They do this by our multiple layers of cross-checking and verification process that ensures that the entered data are 100% correct.

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Our Hospice Billing Services Process

We follow a meticulous process in compliance with HIPAA and HL7 to render our Hospice billing support services. Our proven outsourcing hospice billing services comprise the following stages

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Medical Coding Software We Leverage

Our medical coders are expert in assigning, entering, and cross-checking the diagnostic codes that facilitate the reimbursement by the insurer. We make this possible by leveraging some of the best medical coding software available in the healthcare industry today.

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Insurance Eligibility Verification

Under our insurance verification services, we carefully analyze and verify the patient's eligibility and his/her coverage benefits before submitting the claim. It will help you avoid any denials and delays in the reimbursement. We cover the following services under our eligibility verification -

  • Document Verification - After you send the medical data electronically, our team analyzes each & every document and organize in the sequence required by the insurance provider.
  • Patient Coverage Verification - We verify the patient's insurance coverage with the primary and secondary payers.
  • Medical Information Correction - We can follow up with the patients or their family for any kind of inconsistencies or missing details.
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Medical Coding

We can help you code the medical procedures and diagnosis, which involves pre-coding and coding services.

  • Precoding - Our medical coders can enter the key-in codes for referring doctors, insurance companies, and add diagnostic, & procedural codes which are not present in the system.
  • Coding - Our certified medical coders refer ICD-10-CM, CPT Assistant, LMRP, and HCPCS Level II to check the diagnosis compatibility with the related procedural codes and modifiers. Our proficiency in medical coding can help you eliminate the up-coding and down-coding errors.
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Why Choose Us

The benefits of partnering with us