What We Do

We are proud to be serving healthcare professionals and offer comprehensive medical billing and coding services. Our company collaborates with many healthcare providers, and we credit our success to our knowledgeable staff and cutting-edge billing technologies.

The key to achieving the outcomes you need from our medical billing and coding services is our ability to quickly assess your needs.

About Us
WHY WE BILL

The check up is part of a three-party system:

1. The Patient
2. Healthcare Provider
3. Insurance Company or the Payer

It is the medical biller’s responsibility to negotiate and coordinate payment between these three parties. The biller, in particular, ensures that the healthcare provider is paid for their services by charging both patients and payers. We bill because healthcare professionals must be paid for the services they offer.

The biller gathers all of the details about the patient and the procedure (found in a “superbill”) into a bill for the insurance provider. A patient’s demographic data, medical history, insurance information, and a report on the procedures carried out and why are all included in this bill, which is known as a claim.

Medical Billing
Medical Coding
Aging A/R Recovery
Who Uses Our Services
Medical Billing

Medical Billing

Our end-to-end medical billing services provide maximum reimbursement for our clients while reducing overall costs. We just don’t monitor your account we actively manage it..

  • Daily claims entry
  • Electronic and paper claim submission
  • Dedicated follow-up
  • Claim correction and/or re-submission
  • Government, commercial and private billing
  • Weekly / monthly customized reports
  • Patient statements* (soft collections, up to 3 past due notices)
  • Payment posting / adjustments
  • Denial management
  • Tracking/claims management
  • Managing collections
  • Patient inquires
  • A/R recovery
  • Dedicated Account Manager
Medical Coding

Medical Coding

Most providers do their own Coding. But if your practice needs Coding help, we’ve Certified Coders available. Our Coders work with all specialties, they can help you maximize revenue.

  • Clean Claims
  • Fewer Denials
  • Certified Coders
  • HIPAA Compliance
  • Latest Coding Tools & Software
  • CPT, ICD-10, and HCPCS Coding
  • Meet Insurance & Government regulatory requirements
  • Fast turnaround times
Aging A/R Recovery

Aging A/R Recovery

We specialize in Aging A/R recovery. Insurance accounts receivables is a common problem within all types of medical practices. This causes a reduction in cash flow and a loss of revenue. We pursue every old claim by assigning our dedicated team of Aging A/R specialists. Even if you don’t want to outsource your entire billing, we can help you with your aging A/R. If your in-house billing team can’t keep up with Aging, we can help!

Who Uses Our Services

Who Uses Our Services

Our Billing Services and Revenue Cycle Management Services are used by:

  • Small and Large Practices
  • Solo Physicians
  • Independent Medical Practice Groups
  • Physician Groups
  • Hospital-owned Physician Practices and Groups
  • Medical Clinics
  • Hospitals
  • In-home health services providers
  • Non-Emergency Medical Transportation (NEMT)
  • Freestanding Emergency Centers
  • Urgent Cares
  • Ambulance Service (EMS)
  • DME companies
  • Laboratories
  • and more… Contact us Today!
Service We Provide

The Two Types of Medical Billing and Coding

Medical Billing
Our thorough method of providing healthcare revenue cycle services enables clients to completely concentrate on patient care.
Medical Coding
Our thorough method of providing healthcare revenue cycle services enables clients to completely concentrate on patient care.
Eligibility and Benefits Verification
o guarantee that the practices accept the proper patients in accordance with the provider contracts.
Pre-authorization
To make sure that all procedures and treatments are pre-authorized by the insurance in order to prevent any issues with reimbursement.
Credentialing
We help businesses by working with insurance providers to start and maintain accurate credentialing statuses as part of our medical credentialing services.
Compliance Audits
We provide medical auditing services with 360 degree compliance that minimize denials, guarantee regulatory compliance, and follow all official procedures.

We offer Medical Billing and Coding Services and support physicians, hospitals, medical institutions and group practices with our end to end medical billing and coding solutions.

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WORK PROCESS

Medical Billing Process

Register Patients
Patient registration is the first step on any medical billing flow chart. This is the collection of basic demographic information on a patient, including name, birth date, and the reason for a visit. Insurance information is collected, including the name of the insurance provider and the patient's policy number, and verified by medical billers. This information is used to set up a patient file that will be referred to during the medical billing process.
Confirm Financial Responsibility
The second step in the process is to determine financial responsibility for the visit. This means looking over the patient's insurance details to find out which procedures and services to be rendered during the visit are covered. If there are procedures or services that will not be covered, the patient is made aware that they will be financially responsible for those costs.
Patient Check-in and Check-out
During check-in, the patient will be asked to complete forms for their file, or if it is a return visit, confirm or update information already on file. Identification will be requested, as well as a valid insurance card, and co-payments will be collected. Once the patient checks out, medical reports from the visit are translated into diagnosis and procedure codes by a medical coder. Then, a report called a “superbill” may be compiled from all the information gathered thus far. It will include provider and clinician information, the patient's demographic information and medical history, information on the procedures and services performed, and the applicable diagnosis and procedure codes.
Prepare Claims/check Compliance
The medical biller will then use the superbill to prepare a medical claim to be submitted to the patient's insurance company. Once the claim is created, the biller must go over it carefully to confirm that it meets payer and HIPPA compliance standards, including standards for medical coding and format.
Transmit Claims
Once the claim has been checked for accuracy and compliance, submission is the next step. In most cases, the claim will be electronically transmitted to a clearinghouse, which is a third-party company that acts as a liaison between healthcare providers and health insurers. The exception to this rule are high-volume payers, such as Medicaid, who will accept claims directly from healthcare providers.
Monitor Adjudication
Adjudication is the process by which payers evaluate medical claims and determine whether they are valid and compliant, and if so, the amount of reimbursement the provider will receive. During this process, the claim may be accepted, rejected or denied. An accepted claim will be paid according to the insurer's agreements with the provider. A rejected claim is one that has errors that must be corrected and the claim resubmitted. A denied claim is one that the payer refuses to reimburse.
Generate Patient Statements
Once the claim has been processed, the patient is billed for any outstanding charges. The statement generally includes a detailed list of the procedures and services provided, their costs, the amount paid by insurance and the amount due from the patient.
Follow Up on Patient Payments and Handle Collections
The last step in the medical billing process is to make sure bills are paid. Medical billers must follow up with patients whose bills are delinquent, and, when necessary, send accounts to collection agencies.

Testimonials

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Productivity, collections, and AR follow-up have all significantly improved. They are flexible, helpful, and responsive to our needs, and they provide excellent customer service.
Reca Adam
By far the best billing service I've used. Detail-oriented and always available.
Merry Jony
I am extremely satisfied with their service. I would highly recommend this company, as billing reports are sent to me in a timely manner and customer service is exceptional.
Alber Alles
I appreciate the assistance I receive from your staff. Everyone I speak with at your office is courteous, kind, and patient. My clients have also expressed satisfaction with your staff. Thank you once more.
Angela Hammack