Medical Billing/Revenue Cycle Management

Patients need to verify their insurance information and eligibility before every appointment.

Insurance information can change at any time, which is why you need to ask the patient if their insurance information is current or has changed since the last visit. A change in insurance information can also impact benefits or copays.

Medical Billing/ Revenue Cycle Management

Often times, solo practitioners ask us if they can do their own billing. Yes, you can as long as you are very familiar with medical billing procedures, ICD/CPT code terminology, adding modifiers, familiar with EDI/ERA/EFT enrollment, have adequate time to do the billing, and constantly follow the insurance updates every year. Most people (but not all) are not familiar with these rules, so we strongly recommend that all small to medium practices outsource their medical billing. Working with the insurance payors can be tricky and frustrating, often times. The only time you may consider bringing billing in-house is when your high collections can support a team of over 7-8 FTE billers in your office. However, for large practices, a low fee will still remain economical from a business standpoint to outsource your billing.

Revenue Cycle Management is a professional name for Medical Billing Services that encompasses a cycle of additional billing services along with the process of submitting claims to the insurance payors to receive reimbursement for the services you provided to your patients.

Medical Billing

Our Comprehensive Medical Billing Services

Daily claims entry

We offer accurate and timely daily claims entry services to streamline your billing process. Our team ensures that all claims are entered correctly to reduce denials and accelerate reimbursements.

Dedicated follow-up

We assist healthcare providers in obtaining and maintaining hospital privileges by managing all credentialing documentation, verifications, and compliance requirements.

Electronic and paper claim submission

We handle both electronic and paper claim submissions with precision, ensuring compliance with payer requirements. Our streamlined process helps reduce delays and improves the efficiency of your revenue cycle.

Monthly customized reports

Receive detailed, easy-to-understand reports tailored to your practice’s needs, offering insights into claim status, revenue trends, and performance metrics to support informed decision-making.