Medical Billing & Credentialing Services

Medical billing is the process through which a healthcare organization submits claims to insurance companies (payers) in order to receive payment for medical services rendered. 

Medical Revenue Cycle Management (RCM) is the process through which a healthcare organization submits and receives payment for medical services performed. This process includes pre-visit (patient eligibility and insurance verification), patient check-in, charge capture and entry, claims processing and assembly, claims submission, payment posting, claims follow-up and patient collections. 

Medical Coding is the process of translating healthcare services, procedures and diagnosis into medical codes, which are then used by billers to submit and process claims. 

Medical coders translate diagnosis and patient procedures into billable medical codes that are then submitted as claims. 

The services a medical billing company may provide include: Coding, Appointment Reminders, Eligibility Verification, Claim Scrubbing, Claim Submission, Payment Posting, Denial Management, Patient Follow-Up, & Reporting.

Full service medical billing includes a practice management system, reporting and billing analytics, comprehensive billing, medical coding expertise, Account Receivable follow-up, denial management, and client support. 

Billing specialists and certified coders help to optimize a practice’s reimbursement. They also provide a level of financial transparency with a variety of regularly-scheduled reports. Billing services help to ensure that all patient visits and claims are accounted for. They reduce operational costs, allowing practices to save time and resources, and focus on their patients. 

It begins with the Patient. After the visit has taken place, it is our job to que up billing for the Provider to be reimbursed. We work with many vendors along the way, which includes the Payers, Clearinghouse, EMR and the Patient, who are all necessary to get paid the money that is owed to you.