Billing Solutions

OVERVIEW OF SERVICES FOR MANAGING THE REVENUES CYCLE

Every care Billing will help you improve your healthcare revenue cycle management. You'll observe a decline in claim denials, be able to identify the primary causes of revenue loss, boost sales, and spend less time in accounts receivable. To make our revenue cycles more agile, we want to create a coordinated approach between patients, payers, and healthcare providers.

VERIFICATION OF ELIGIBILITY

We place a strong emphasis on the caliber of our work, which is why we are adamant about reviewing procedure specifics. The validity of important criteria including the eligibility of insurance, verification of benefits and co-ordination of benefits are considered to be a top concern at Every care Billing. And to top it all off, we immediately revise any claims that are denied so that Every care Billing has an edge over rivals in the market today.

PATIENT REGISTRATION & CHARGE CAPTURE FOR MEDICAL BILLING

In Every care Billing, claims of cleanliness are a fact. Our billing team has the expertise to process payer claims more quickly. Reimbursement may be lower if patient demographics and billing data are not precisely recorded. Our team is committed to offering excellent patient registration and charge capture services.

COMMUNICATION AND APPEALS

The knowledge to manage issues involving medical expenses is available at Every care Billing. In the case of an incident, we will carefully mail any claim that the payer did not authorize or that has to be corrected and filed back. The insurance provider examines each submission to avoid denials due to late filing.

Taking into account the data gathered from the call support team The relevant steps will then be taken by our staff in relation to the underpaid claim in order to correct and resubmit the claim. This might entail billing, recoding, and letter-writing appeals.

CREDENTIALING AND ENROLLMENT OF PROVIDERS

Our team of credentialing experts makes sure that the healthcare practitioner provides all the pertinent information required for credentialing. We change the data to comply with each insurance provider's individual format requirements because each has its own set of rules that must be followed. Upon submission, Every care Billing stores the data in a database for later use and then follows up with insurance companies to complete the enrollment process. To make sure they are enrolled, Every care Billing makes sure to get in touch with the insurance provider.

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Charge Entry

Patient Demographics and Medical codes applied to charts are appropriately verified. Every claim is verified to check: DOS, POS, Provider Info, Units, Modifiers, CPT code, Facility billed from, Referring Doctor in order to reduce the chance of claim rejection. Your fee schedule is taken into consideration and bills are raised accordingly.

Our Billers also submit claims to clearing house to make sure that 100% accuracy is maintained for all our clients. CMS 1500 forms are also generated to submit to government agencies.

Our Billers ensure layers of quality process before submission of claims that ensures 100% clean claims submission first time it include:

· Manual check is done by our billers in order to insure accuracy.

· Random quality audit using statistical data

Payment Posting

Our Billers feel that reading EOBs is a skill and one must be aware of all the nuances of payer communication when handling a payment posting account.

· Enter the allowed amount

· Paid amount and

· Patient responsibility information

· Then calculating the contractual adjustments

· This also helps the insurance follow up easier

Payment Posting is also evolving with ERAs (Electronic Remittance Advice) from payers, our billers support ERA posting by also verifying the payments posted.

Their specialty lies in working on the most advanced electronic remittance scenarios, including denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittance, reversals, and more.

Value our Medical Coding Professionals bring to your Revenue Cycle:

· Updates on all coding changes and Fee Schedule analysis

· They follow all CCI edits and LMRP standards for coded charts

· Deep understanding of the usage of appropriate Modifiers and POS

· Code Audits for unbundling, up-coding and down-coding

This expertise and accuracy in terms of Coding has brought the current denial ratios down drastically and has shown a surge in the collection of the healthcare providers. Our Professional billing and coding personnel have helped to streamline operational processes and optimize Revenue Cycle Management. MBC, with its large network of AAPC-certified, highly experienced medical coders, well-acquainted with the latest billing software, healthcare IT applications, and the latest changes in billing, coding, and healthcare reforms and regulation compliances can save you precious dollars by optimizing your revenue management.

Medical Coding Services

Medical Coding Services is a specialized function in the Revenue Cycle Management which involves healthcare providers, patients, payers and Physician administrative staff. Medical Coders work in tandem with billers to process accurate revenue codes on the basis of the clinical documentation maintained by the healthcare provider. The expertise of a certified and experienced Medical Coder is to ensure quick and denial-free reimbursement to the providers.

Medical Billers and Coders (MBC), the largest consortium of medical billing and coding services in the US, provides assistance to physicians and healthcare organization to code diagnoses, procedures, and services which medical billers finally turn into revenue. We bring you the proven expertise of a large network of trained and qualified coders with substantial exposure to the coding requirements across all specialties, and working experience with small clinics, multispecialty providers, and large hospitals. Our coders' expertise includes the ICD-10-CM, Evaluation and Management codes and CPT coding systems with specific training in each specialties we cater.

Thorough training and knowledge of medical terminology, disease processes, and pharmacology of Medical these Coding professionals has been providing assurance of smooth migration to the ensuing ICD-10 system of medical coding, and HIPAA 5010 compliant reporting.

Do office duties prevent you from being successful as a healthcare provider?

Medical billing, insurance follow-ups, claims processing, and other administrative tasks can take up valuable time away from the practice of medicine. Healthcare professionals provide patients with necessary services. Also, billing is crucial to their company's operations.

Effective medical billing is necessary to support your business and make sure that the revenue-generating cycle is successful. Outsource your administrative work to a reliable medical billing company to get the best answer.

We understand that overcharging, missed charges or non-reimbursable errors, coding errors, and many other challenges confront healthcare providers, putting them at risk of losing substantial sums of money every year. So, we developed our medical billing consultation services to eliminate the possibility of any disagreement and to offer precise and on-time deliverables

Billing Solutions

Expert medical billing services tailored for diverse healthcare clients.

Every Care Billing Solutions has transformed our billing process. Their expertise and 24/7 support make a significant difference in our operations.

Dr. Smith

★★★★★