Accurate medical billing services from a reliable medical billing company helps streamline your revenue cycle and gives you more time for your patients.

1. Medical Billing Services can help you
Streamline Your Revenue Cycle
The medical billing services of a
professional and knowledgeable service
provider can help you streamline your
revenue cycle. Ensuring accurate and
timely billing is a time consuming
procedure, but one that ensures many
benefits. Insurance company policies,
compliance regulations, government
policies, and healthcare reforms are always
changing, and medical practitioners and their support staff often find it
difficult to keep track of these changes and adhere to standard norms. This
makes revenue cycle management a difficult task. Outsourcing is a very
viable solution for these issues.
Balance Between Competent Healthcare and
High Operational Costs
Outsourcing the medical billing job is useful for various medical specialties
including anesthesiology, radiology, orthopedics, urology, podiatry, internal
medicine, physical therapy, gastroenterology, obstetrics, neurology,
pediatrics, pathology, pulmonary, vascular, psychiatry, cardiology, pain
management, general surgery, osteopath, and physical medicine. It can help
healthcare practices create an effective balance between competent
healthcare and rising operational costs. The healthcare practices can thus
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2. maximize their productivity. Other benefits include fewer denials, decreased
payer and patient collection costs, and shorter A/R days. All this is achieved
without compromising on the quality of the deliverables.
Services Ensured
Here is a look at the various solutions that come under the medical billing
services package:
• Patient Registration and Authentication – This is the process
of feeding the patient’s demographic data and validating its accuracy.
• Coding – The coding for diagnosis, suitable modifiers, and services
offered is confirmed and set.
• Claims Management – Paper claims and e-claims are created and
sent to payers through the service provider’s clearinghouse. The
acknowledgements of claim receipts are checked and re-filing of
unsent claims is undertaken. Payer responses are verified and
processed.
• Electronic Claims Submission – Claims are submitted
electronically to Medicaid, Medicare, and other commercial carriers.
• Denial Management – Claims rejected on Explanation of Benefits
(EOB) are made right and re-filed or suitably appealed for.
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3. • Charge Posting – Charge data is fed into the computer to generate
a claim after a detailed reconciliation.
• Insurance Verification – Patient schedules are received through
EDI, fax, or email and verified everyday using appointment
scheduling software. The insurance coverage of the patient is
confirmed with primary and secondary payers. Patients are also
contacted whenever extra information is required. The system is
updated with verification and eligibility data such as group ID, co-pay
information, coverage period, member ID, and other benefit
information.
• Reports – Reports provide valuable information about possibilities
for improving the practice such as cost savings, guidelines for growth,
and techniques for improving profitability. These reports are made
available at least on a monthly basis.
Advantages of Quality Medical Billing
Services
• Utilization of VPN system
• Faster turnaround
• Faster reimbursements aided by web-based software
• Continuous analysis for procedures, global issues with respect to
suitable timely reports, and patterns on codes
• Effortless scalability
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4. • Round-the-clock customer care
• Reports (weekly and monthly) including projections, international
pending problems, procedure code analysis, and productivity
• HIPAA compliance
• Expertise in use of medical billing software such as Lytec, Medisoft,
Inception, Nextgen, IDX, Misys, and Medic
• Clean claims
When you outsource to a reliable medical billing company, you are ensured
of customized service in line with your requirements:
• Fee analysis
• Insurance payment profiles
• Help with utilizing and comprehending coding and compliance
modifications
• Profitability assessment on the basis of procedure code
• Accounts Receivable Management
Finding the Right Service Provider
To identify the right service provider, search online directories and the
yellow pages, medical billing services can definitely help you streamline
your revenue cycle if you choose the right service provider.
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5. For More Information:
OutSource Strategies International
United States Main Office
8596 E. 101st Street, Suite H
Tulsa, OK 74133
Phone 800-670-2809
http://www.outsourcestrategies.com
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