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Once you sign the contract, the setup process begins. According to our prior experiences, the procedure takes 3–7 days for most doctors. We can provide you with a more precise quotation after evaluating your healthcare center.

Our Helpdesk has employees with specialised training in medical billing who can respond to your questions and requests.

Once it has been examined by ouar auditors and is free of errors, we file your claims. Since sending claims online is the quickest and most effective approach to receive results, our team does so. We guarantee that the turnaround time will be 24 hours after we get the data. Manual claim submission is still an option for our billers, but there are significant drawbacks.

You maintain full control over all of your payments and funds. All collections, including but not limited to patient cash payments, patient checks, payer checks, and EFT (Electronic Fund Transfer) deposits, must be promptly reported in writing by customers to the billing system. Our recommendation is to set up as many EFT (Electronic Fund Transfer) payers as you can.

Our billing service pricing is simple & economical, as your profit is our priority. We charge 4-8% of the revenue acquired while we manage to save at least 35% of your billing cost! We also deploy FTE (Full Time Employee) whose service will be priced (Hourly or Monthly) based on the scope of services, volume of work.

Claims can be denied for various reasons including incorrect patient information, inaccurate coding, lack of medical necessity, or insufficient documentation. It’s crucial to review the denial reason provided by the payer and correct any errors for resubmission.

Reducing claim denials begins with implementing thorough checks before submission. Ensure that coding is accurate, patient eligibility is verified, and all necessary documentation is attached. Regular training for staff on the latest billing practices and payer policies is also essential.

A rejected claim is one that has been processed and returned by the payer due to a fatal error or omission, often before it is entered into their system. A denied claim is one that the payer has processed and determined to be unpayable based on their rules or coverage policies.

It’s best practice to follow up on unpaid claims at least every 30 days. Regular follow-ups ensure that any issues are addressed promptly and help maintain steady cash flow.

Yes, you can bill a patient for services not covered by their insurance, provided that the patient was informed about the likelihood of non-coverage and agreed to be financially responsible, typically documented through an Advanced Beneficiary Notice (ABN).

A clean claim is one that has no defects or improprieties, requiring no additional information to process. It is accurately completed and fully compliant with the payer’s policies, hence it gets processed and paid promptly.

Keeping up with changes requires ongoing education and vigilance. Subscribe to industry newsletters, attend webinars and workshops, and participate in professional forums. You can also consider partnering with a billing service that stays updated on regulatory changes.

Common coding errors include using outdated codes, incorrect use of modifiers, upcoding, unbundling, and undercoding. Continuous training and using updated coding resources can help prevent these errors.

Compliance with HIPAA requires safeguarding patient information through secure systems, ensuring only authorized access, providing regular staff training, and staying updated on HIPAA regulations. Conducting regular audits can also help maintain compliance.

Investigate the commonalities among the denials to identify the root cause. It could be a specific coding issue, payer policy change, or an internal process error. Once identified, take corrective actions such as staff retraining, process adjustments, or direct communication with the payer for clarification.