Medical Billing for Healthcare Services Providers

Finding the perfect match in the list of Medical Billing Companies is hard, but with the right knowledge, you can identify the Best Medical Billing Company for healthcare services providers, hospitals, and group medical practices. While growing, you come to a point, where you need Outsourced Medical Billing Services to improve productivity and get some time off to focus on the core healthcare business.

However, every physician practice will not have the same needs. It’s very common to find similarities in other healthcare groups, but each practice has its own specific needs. When looking for medical billing companies, you need to find the right billing partner to meet your practice needs. Here are some key points to consider when shortlisting and making a final selection of an ideal Medical Billing Company that can meet your unique needs.

Flexible RCM / Medical Billing Service

If you are already using EHR / Practice Management Software, you have to look for such Medical Billing Companies that offer flexible medical billing services so you don’t need to switch your lovely EHR.

Medical Billing Software Dependency

If you are not using any EHR / Practice Management System and would like to move on to one with a new billing company then you have to look for a specialty-focused EHR along with a specialty-focused medical billing company. Every Medical Billing Software and EHR System is not designed for all types of specialties and you need an EHR & Billing System which has additional functionalities just more than just an appointment scheduling system.

Suitable Solution for ICD and CPT Coding on Claims

The medical billing service should have the solution to take your manual billing and coding details and put them together in a claim with proper identification of diagnosis information to the relevant procedures performed along with relevant modifiers to avoid claim necessity denials. This section has a dependency on the efficiency of the medical billing team and the medical billing software design which allows making this happens as expected. If a medical billing company lacks in this area, the majority of your claims will be either rejected by the clearinghouse or will be denied by the insurance company due to “inconsistent diagnosis code”, “invalid/missing modifier” or with denial reason “services provided doesn’t prove the necessity”.

Electronic Healthcare Claim EDI Processing

Once the encounters are uploaded for the billing team, these should be processed and sent to the insurance company electronically with EDI (Electronic Data Interchange) or via paper. An Experienced Medical Billing Service checks each insurance requirement and prepares the claim in accordance with a checklist to ensure the first time passing through all the checks to get the claim on file. When dealing with claims electronic submission, the selection of an EDI vendor is also important to make sure that the Medical Billing Company is using the efficient EDI Vendor to ensure claim submission processing.

Healthcare Claims Aging Follow-Ups

The task of medical billing and providing end-to-end revenue cycle management services is more than a data entry of patients’ demographics, claims, and submissions. The expert medical billing team has to look into the claim’s status after certain days of claim submission to ensure that claims sent to the insurance are on file and get the updated status. In case the sent claims are rejected or denied by the insurance payer, then it comes to the billing team’s efficiency to utilize their medical billing skills to get them paid by fixing the issues/errors on them.

Medical Billing Companies having a standard process of claims follow-up to get the claims paid is always being recommended by physicians as the number 1 choice for medical billing solutions.

Medical Billing Periodic Reporting

A perfect medical billing solution provider keeps its clients updated on payments through periodic reports. The more efficient a billing team is, the better they would keep the practice notified about the daily, weekly, and monthly status of the payments received from the payer. The physician medical billing services provider should also update the revenue earned in a certain period of time.

Medical Billing with Efficient Customer Service

A Good Medical Billing Company always invests in providing efficient customer service to their clients to answer their queries in the shortest possible time. If you are the person working on emails and do not prefer to go on calls due to a shortage of time, check the most responsive medical billing company process of handling client communication and always choose the one with the best response rate recommended by their clients.

If you need help in resolving your healthcare practice medical billing issues, please schedule a call back with our Medical Billing Expert to discuss the details. Our initial consultation is free.