Medical Billing

Medical Billing

Optimal medical billing is integral for any healthcare organization to run successfully.
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Increase your wealth collections with our one-stop Revenue Cycle Management (RCM) solutions.

Our medical billing services help you build a healthcare ecosystem that maximizes financial performance, minimizes denials, vastly improves turnaround time, increases accuracy, optimizes organizational workflows, and enhances the patient experience.

Do you want the operating costs of your medical facility to reduce by at least 50%?
With access to our accurate and efficient medical coding and billing, reducing costs becomes inevitable. Our end-to-end billing support guarantees that all your administrative requirements are taken care of:

  • Reviewing & following up on pending medical claims
  • Tracking receivable balance
  • Finding reason(s) for denial
  • Re-processing claims if required
  • Initiating accurate collections

Medical Billing Solutions –

As your RCM solutions partner, we provide you with the experience of working with dependable services, ultra-responsive technology, and progressive experts. With more than 15 years of experience in the Medical BPO industry, we ensure perfection in all your back-end medical billing operations; designed to capture, collect, and protect your revenue. Some of which are:

CREDENTIALING & DATA ENTRY

Enrollment and Credentialing Services – 

We ensure all the exhaustive documentation of provider credentialing and provider enrollment is complete. Your data stays up-to-date with payers, faster clearance of claims, mitigate revenue leakage, get more patient referrals, and help with many more aspects.

Physician Credentialing Services –

We verify the physician’s qualifications and enable them to be a part of the Payer’s network.

Patient Demographic Entry – 

Accurate capture of patient details will help you keep the revenue cycle running smoothly; diligence in these little demographic and registration details will increase your claim settlement ratio, thus generating more cash.

Medical Data Entry Services

Digitization of medical data to access and retrieve general and critical information is an urgent need of the hour for the entire medical industry. Outsourcing medical data entry work will reduce the number of uninsured patients and unreasonable costs for the industry, and more importantly, it will significantly improve performance of your medical facility and save heaps of time.

Charge Entry

We facilitate a detailed data entry job, comprehensive charge capture, and constant analysis of errors to create a strategic impact on the reimbursements of your bottom line.

CORE MEDICAL BILLING

Physician Billing Services

When your physician billing services are outsourced to us, claims or services will not go unbilled or missed. Moreover, easily regulate various administrative tasks like scheduling appointments, check-in and registrations, and payment collections.

EMS Billing Services –

Raise the bar on your services; and your bottom line. With the help of analytical experts and smart automation, ensure the highest clean-claim rate and cash-per-trip results. Enhanced client care, increased collection, and actively compliant.

DME Billing Services

Our in-depth knowledge of HCPCS Level || codes will ease out a fairly complex billing process and help you provide superior patient care and successfully set up your revenue cycle.

ASC Billing Services

Our team of experts have a profound understanding of insurance payers’ policies and dynamic governing guidelines to increase the efficiency and accessibility of your medical facility.

Emergency Medicine Billing Services

Patients who require emergency medicine face uncommon challenges. We tackle that by coding the exact E/M code based on the patient’s presenting problem(s), analyzing and determining the HPI, and then completing the MDM as per CMS coding standards.

CASH POSTING & COLLECTIONS

Insurance Payment Posting

All the payment posting services – primary and secondary insurance payments, adjustments and transfer of insurance is efficiently carried out by us

Self-pay Posting –

We take care of posting payments made by patients to the healthcare provider.

Denial Posting

We find the cause for every claim that is denied and perform a deep administrative check for all necessary documents before re-submitting the claim, thus successfully enabling the process of denial posting.

Reports

We detail out the reports with transactional volume of line items received and submitted by us and provide to you as per your periodic convenience (daily, weekly, fortnightly, monthly).

Healthcare Collection Services

Driven by analytics and the efficiency of our team, we solidify and quicken the process of debt collections and quickly recover outstanding claims to maximize cash flow and positively incite patient loyalty.

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Medical Coding

Medical Coding

Get a team of experienced medical coders who are updated with all the updated guidelines to help in eliminating claim denials and getting your revenue cycle to function at its optimum.
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Our team of experienced medical coders provide you with first grade medical coding services. We are proficient in international coding practices. Our coders increase efficiency of your healthcare organization’s revenue cycle through precise codes of healthcare diagnosis, procedures, medical services and equipment.

The majority of our team is certified by AAPC (American Association of Professional Coders). We assess clinical statements and allot codes using CPT, ICD-10-CM, HCPCS ||, C++ level classification systems.

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HCPCS and CPT coding

Our coding services are applicable for surgery, lab and other tests according to guidelines by AMA and CMS

ICD-10 and CPT Coding

We find and file precise procedure and diagnosis codes and remarkably boost the CSR and CCR of your healthcare facility.

We offer expert solutions in a broad range of disciplines through our skilled coders delivering high-quality results within set deadlines.

  • Cardiology
  • Radiology
  • Pediatrics
  • Infectious Diseases
  • Internal Medicine
  • Pathology
  • Anesthesia
  • Oncology
  • Gastroenterology
  • ASC Coding… for all major specialties

Minimize claim denials with accurate coding of medical procedures, diagnosis, necessary medical equipment, and medical services information.

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Copyright by CIVXDATA. All rights reserved.

Copyright by CIVXDATA. All rights reserved.