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Physician Billing Service

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Medical Billing

Physician Billing Services

Incorrect medical billing can lead to numerous challenges for physicians, including financial instability due to delayed or denied claims, regulatory compliance issues, and potential legal repercussions. Furthermore, improper coding can affect the quality of patient care by causing inaccuracies in patient records, leading to misinterpretations of a patient's medical history. To improve the financial health of your medical practices and the quality of your healthcare services, physician medical billing services to MediCodeBill, a service provider with superior industry knowledge garnered over two decades of experience.

We leverage our rich experience and wide exposure to CPT (Current Procedural Terminology) codes (which changes over time) to collect 99% of total billed revenue. Our efficient back-office support ensures over 98% accuracy in physician billing services by using timely, reliable, and efficient processes, streamlined over several years to ensure proper reimbursement with quick turnarounds. Our expertise spills over HCPCS (Healthcare Common Procedure Coding System) codes, ICD-10 coding, evaluation and management codes, payer-specific coding, and offshore coding audits. Combining well-trained resources with the latest technologies, we keep your 60-day outstanding AR (Accounts Receivable) below 20% and 120-day AR below 10%. To know more about our services, book a free consultation today!

Services

Our expertise spans coding, credentialing, enrollment, and billing.

Account Management

Our business management service ensures streamlined healthcare practice operations through strategic planning, identifying strengths and weaknesses, and ROI projection. With a focus on long-term success, it employs proven business tools and methodologies, while simultaneously addressing both current and future technological needs.

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Coding Services

Frequently, medical practitioners under-code their services, causing potential revenue losses. Our AAPC-certified medical coders help counteract this issue with comprehensive coding solutions, including HCPCS, ICD-10, CPT, payer-specific, and offshore coding audits. With a wealth of experience, an extensive team, and millions of claims processed annually, we significantly enhance your coding efficiency.

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Physician Billing

Our top-tier physician billing solutions deliver industry-leading ROI and profitability to our clients as we collect up to 99.7% of total billed revenue. We also offer advisory services on optimal medical billing and coding procedures to help maximize AR/AP processes, improve cash flow, and streamline businesses processes. We serve as an extension of your in-house staff, providing continual support, training, and development.

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Patient Preauthorization

We help physicians secure preauthorization approvals swiftly and efficiently. Our secure online portal streamlines the process, providing updates on pre-certification completion. We help minimize paperwork errors and insurance denials, ensuring maximum reimbursement. With our services, physicians can focus more on patient care while reducing operational costs by 30% to 40%.

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Claims
Settlement

Benefit from our around-the-clock service, dedicated to expedient claim settlement. We expertly manage every aspect of the claim settlement process, coordinating with insurers, medical experts, and other involved parties. Our meticulous attention to detail ensures accurate claim documentation, thorough evaluation of the claim experience, and insightful analysis of the cause of loss.

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Revenue Cycle Management

Our RCM (Revenue Cycle Management) solutions help optimize your Accounts Receivable management processes and curb the accumulation of unpaid claims. Our top-tier services not only identify and recover lost revenue but also expedite the closure of aged payments and manage collections responsibly. Regardless of the complexity of your revenue cycle challenges.

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Financial
Analysis &
Reporting

Our professional medical billing solutions for physicians include robust financial analysis and reporting, employing advanced analytics tools. This service facilitates precise monitoring of revenue cycle metrics, detection of coding inaccuracies, and generation of actionable data for optimizing fiscal health.

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Claim
Submission

Our superior claim submission procedures adhere strictly to CMS-1500 and UB-04 standards. Leveraging our expert coding knowledge, we guarantee accurate, timely submissions, mitigating denial rates and enhancing your revenue cycle management. Trust our services for a streamlined, error-free billing process; rely on us to maximize your healthcare practice's efficiency and productivity.

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Payment Posting

Our services involve the meticulous application of payments to respective patient ledgers, reconciliation of EOBs (Explanation of Benefits), and precise adjustment of denials and write-offs. Our experienced team assures precision and compliance, enhancing revenue cycle management and financial accuracy.

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Insurance Eligibility
Verification

Our team retrieves trailing documents, follows up with third parties, and gathers all necessary loan documents. We collaborate with title companies and brokers to assemble the final post-closing package, ensuring its accuracy and completeness. Based on thorough reviews, we confirm compliance with requirements for insurance, sale, and protection against fraud. Our seamless processes include preparing shipping packages, extracting loan packages, and uploading signed documents.

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Physician Billing Process We Follow

Rendering a customized medical billing service is one thing and seeing the workflow unfold is another. If you want to witness the sequence of steps we follow to expedite billing process, here is how we maintain transparency in the physician billing

  • Medical Coding: We offer an entire range of medical billing services that includes medical coding, transcription, EHR review, etc.
  • Claims Follow-up: We track claims status in real-time for faster reimbursement. Additionally, claims are also filed electronically to avoid payment bottleneck.
  • Eligibility Verification & Pre-authorization: We execute insurance eligibility verification in real-time as a batch process. This saves the patient's time and effort spent to obtain preauthorization.
  • CredentialingMaintaining a paper trail is an arduous challenge even for large billing companies. We routinely compile reports and maintain documentation that is offered to providers and insurance payers to bring clarity into the work accomplished.
  • Management of Claims Denial: Unpaid claims can come in the way of fielding profits. We follow-up with payers if physicians are underpaid, or not paid at all. We pull billing, insurance, and aging reports to efficiently tackle claims denial.
  • Charge Posting: We capture and post the payment to provider's account. In the case of payment discrepancies, we proactively review billing data and explanation of benefits (EOB) to provide the best value to physicians.
  • Uncleared Invoice ReminderIt is troublesome for physicians to follow up on slow-paying and non-paying patients. We dispatch accounts statements to patients reminding them to clear outstanding dues.
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Comprehensive Services We Provide

In addition to our core offerings, we pride ourselves on delivering a wide range of supplementary services designed to meet your every need. Whether you require personalized consulting, ongoing maintenance, or specialized support, our team is equipped to provide tailored solutions that enhance your experience. We go above and beyond to ensure that all aspects of your requirements are met with the highest level of professionalism and care.

Additional Services We Offer

Medical Coding Service

Medical Coding Service

Streamline patient records with precision,ensuring accurate diagnostics and procedural information for optimal reimbursement.

Medical Transcription Service

Medical Transcription Service

Convert your medical audio files into clear,precise text,facilitating improved communication and record-keeping.

Denial Management Services

Denial Management Services

Minimize claim rejections and boost revenue with expert handling and resolution of denied insurance claims.

Medical Billing Service

Medical Billing Service

Simplify your financial processes with accurate,prompt,invoicing and payment collection,enhancing your practice’s cash flow.

Dental Billing Service

Dental Billig Service

Specialized support for dental practices, ensuring precise billing and swift, full reimbursement.

Revenue Cycle Management Service

Revenue Cycle Management Service

Optimize your practice’s financial health with comprehensive management of patient registration,insurance and benefit verification, billing and collections.

Why Choose Us

The benefits of partnering with us