Medical Billing Service
One of the country’s leading providers of medical billing services, LEVERnGEAR has the experience to provide you with multi-specialty medical billing services utilizing a management team. LEVERnGEAR can assure you the highest level of security and protection of PHI following all the health care regulations and utilizes the expertise to allow for the maximum reimbursement of your medical billing services in the most efficient manner. We can assure a long-term commitment from our expert support team and take the work and the worry out of your medical billing and collections problems. Performing as an extension of your office staff, LEVERnGEAR provides a flexible array of medical billing services to meet your specific needs.
Healthcare providers understand the importance of patient demographic data, as single piece of information provided in the patient demographic sheet is essential in medical billing and coding and it directly affects the insurance claims payment. Error-free patient demographic entry is required for claims submission, as it provides accurate data that facilitates quick processing of the insurance claims by the insurance company.
We have well-trained medical billing professionals who can quickly and accurately file all the necessary data from the patient demographic sheet shared with us and send it to the payers, within the client’s working hours.
- Ability to work on scanned images as well as Electronically Submitted Demographic Sheets
- Ability to accurate process insurance information (selecting appropriate insurance details)
- Offshore Medical Billing specialist’s access the information via the Server (or directly from Software Screen as the case may be) and enter information directly into the client software
Charge entry is one of the key areas in medical billing. In the medical billing charge entry process, created patient accounts are assigned with the appropriate value as per the coding and appropriate fee schedule. The charges entered will determine the reimbursements for provider’s service. Therefore, care should be taken to avoid any charge entry errors which may lead to denial of the claims. Moreover, good co-ordination between the coding and the charge entry team will produce enhanced results.
LEVERnGEAR provides charge entry in medical billing as a part of the healthcare revenue cycle management services suite or as a stand-alone service. Teams at LEVERnGEAR have prior experience in handling the charge entry process on various medical billing systems and for several medical specialties. So the teams can start with the process directly after just a few calls to understand the nuances to be followed, saving training time and effort. The teams have pre-defined account specific rules in charge entry for different medical specialties and just add the nuances to them for each client, which reduces the room for errors and contributes to clean claims.
Charge entry process at LEVERnGEAR:
- Charges are entered in to the client’s medical billing system based on account specific rules.
- The pending or held documents are sent to the client for clarification, on a pre-determined schedule.
- The final charges are audited by the Quality team and the clean claims are sent for transmission.
LEVERnGEAR staff has excellent skill-sets in handling charge entry for different medical billing specialties. The teams do not just do pure data entry but provide value addition. In fact, if the teams find an issue with the super-bill at the time of entry, the charge entry for that super-bill is put on hold and a clarification is sought from the client before entering the charges.
At LEVERnGEAR, payment posting in medical billing is one of the key processes that get the utmost attention from our Operations management. The payments in lieu of claims, which are received from the Payer and Patients, are posted in the medical billing system of the client to reconcile the claim. LEVERnGEAR also does electronic payment posting in to the medical billing software and handles the exceptions (fallouts) manually to make sure no payment is missed. The posted ERAs are stored either in the billing system or a Document Management system (DMS) for future reference.
Insurance Payment Posting: All payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The medical billing staff posts these payments immediately into the respective patient accounts, against that particular claim to reconcile them. The payment posting is handled according to client-specific rules that would indicate the cut-off levels to take adjustments, write-offs, refund rules etc.
Patient Cash Posting: There could be several reasons why the patient needs to pay a part of the expenses including co-pays, deductible and non-covered services. If the amount due from the patients is very minimal, the Provider can set a mandate for taking write-offs. If the amount is quite large, then it should be collected from the patients either prior to or after rendering the services. Patients typically pay through checks or credit cards (via patient portals) and these need to be correctly accounted against the claim to avoid any inflated AR and proper closing of the claim.
❖ We process both Manual and ERA payment posting
❖ Daily Deposits balanced accurately
❖ Denials are worked immediately and secondary claim reports are sent on daily basis.
❖ For partial payments, analysis is done and corrective action is taken
❖ Overpayments are researched, authorized and documented.
❖ Non-remittance mail from payers and patients is noted in the patient’s accounts and reviewed. Responses are processed timely to enhance cash flow
Healthcare providers are constantly under pressure to deliver the best service and face several challenges such as long receivable cycles. This delays the revenue, fatigues the billing teams, frustrates the financial management and destabilizes the cash flow.
We understand that absence of structured process makes medical billing and coding companies lose a lot of money. We help such companies streamline their accounts receivable follow-up processes and generate better revenues. Our aim is to reduce the AR process time by regularly following up on the outstanding claims.
AR Follow-up Services We Offer
Some of the key services we offer include –
· Medical Accounts Receivable Follow-up
· Accounts Receivable Recovery Services
· Financial Reporting
· Insurance Follow-up
· Clean-up of Old AR
Our accounts receivable follow-up protocols and procedures have been designed and time tested to assure that each and every account is followed up in a timely and professional manner. No more untimely filings, questionable adjustments or unnecessary waiting.
Every month LEVERnGEAR provides you with a customized financial reports package that allows you to closely track your practice’s financial health. It also shows you how effective we are at capturing your money!
It’s essential for medical service provider to regularly run certain billing reports in order to diagnose the health of their practice and track key performance indicators like revenue cycle numbers or whether claims are being paid on time. In turn, this helps practices to run more efficiently and save valuable time and money in the process.
- The Key Performance Indicators Report
- The Accounts Receivable Aging Report
- The Top Carrier/Insurance Analysis Report
We classify various documents in system by their category. They are:
- Payment Advice Report
- Appeal letters
- Claim Papers
- Correspondence Letters
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