Medical Billing & Consulting Services
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We are a full service medical billing and consulting company. We will obtain and enter demographics, enter and submit your insurance claims after reviewing them for accuracy, perform all the necessary follow-ups on all claims, enter any payments received and provide complete billing reports to you including claims submitted and revenue received. Checks from insurance companies are sent directly to your practice.
INSURANCE BENEFITS VERIFICATION
Verifying patient specific benefit information
PROVIDER SETUP
Entering all provider billing information, tax IDs, provider IDs
PATIENT DEMOGRAPHICS
Enter all patient registration information electronically
CODE REVIEW
Review of CPT / ICD-9 / ICD-10 codes for accuracy
CHARGE ENTRY
Enter all charges from superbill or encounter forms
ELECTRONIC CLAIMS SUBMISSION
Submit all claims electronically to insurance carriers, resulting in quicker payments
ACCOUNTS RECEIVABLES FOLLOW-UP
Follow-up on all outstanding claims are performed
EXPLANATION OF BENEFITS
Reviewing all Explanation of Benefits from Insurance Carriers
DENIAL MANAGEMENT
Review all denials and appealing any denied claims with supporting documentation
PAYMENT POSTING
Posting all EOB payments and adjustments into patient accounts
PRACTICE MANAGEMENT REPORTS
Detailed practice management reports provided
CUSTOMIZED SUPERBILLS / ENCOUNTER FORMS
Customized practice forms
FEE SCHEDULES
Reviewing usual and customary fees for specific geographic location
SPECIALTIES:
- Neurology Billing
- Chiropractic Billing
- Anesthesiology Billing
- Ambulance Billing
- Dermatology Billing
- Internal Medicine Billing
- Family Practice Billing
- Oncology Billing
- Urology Billing
- ENT Billing
- Cardiology Billing
- Laboratory Billing
- Radiology Billing
- Ophthalmology Billing
- Optometry Billing
- Physical Therapy Billing
- Occupational Therapy Billing
- Speech Language Pathology Billing
- Orthopedic Billing
- Rheumatology Billing
- OB/GYN Billing
- Podiatry Billing
- Emergency Medicine Billing
- Urgent Care Billing
Business Solutions
SAPPHIRE