Medical Billing
We provide end-to-end services within the revenue cycle management for physician practices. Before starting to provide billing services we perform an assessment and benchmark the physician billing process and collections against the industry averages.
Our medical billing offering consists of:- Initial benchmarking and practice review
- Patient demographic entry
- Claims submission
- A/R follow-up
- Reporting
- Credentialing
- Charge posting
- Payment posting
- Denial Management
The biggest differentiator of our billing practice is the initial benchmarking and practice review.
Initial Benchmarking
This activity aims at comparing the key physician practice financials against the national averages. Key performance indicators such as net collection ratio, AR above 90 days, etc are benchmarked and variances vis-à-vis the averages are reported to the physician. This activity may be performed only when the physician is not open to have his practice reviewed in detail but is open to share certain key practice information.
Practice Review
Practice review is the detailed audit of the physician’s billing process. The billing data for the past 2 months is requested from the physician and all the amounts that were denied and/ or unrecovered (that could have been recovered) are quantified as a % of revenue loss and analyzed to identify the reason for the same. The most common reasons for denials are – incomplete insurance verification, under-coding, etc. Corrective steps are recommended; if PGS is awarded the medical billing we would initiate all the corrective measures and ensure the improvement in net collection ratio
- Accurate & timely coding
- Deployment of certified billing and coding team
- Faster & maximum reimbursement of your claim
- Reduction of denials
- HIPAA compliance
- Cost effective solution for your practice at affordable rates
- Increased Cash flow
- Faster collection of your A/R