Medical and Dental Billing Services

Our Medical and Dental Billing Process

Patient Demographic Entry

Accutate patient demographic information is the foundation of an efficient billing and administrative process. Our team ensures that patient details are correctly entered and thoroughly reviewed to minimize errors that can lead to claim denials and delays.

Insurance Eligibility Verification

Our team verifies patient insurance coverage before appointments to confirm benefits, coverage limits, co-pays, deductibles and policy status. By accurately confirming insurance details, we help practices reduce billing errors, improve claim acceptabce rates and provide patients with clear financial expectations.

ICD-10 and CPT Coding

Our team is proficient in using ICD & CPT codes. We ensure completion of claims as per LCD/NCD guidelines. Our team stays up-to-date with any ICD & CPT changes, specially HCPC codes to avoid any revenue cycle delays.

Charge Entry

Our team ensures that all medical and dental services are correctly recorded, coded and submitted for billing. We handle entry of procedure codes, diagnosis codes, modifiers and service details with precision to minimize errors and claim rejections.

Claims Review Before Submission

Our team carefully reviews each claim for correct coding, patient information, insurance details and compliance with payer requirements. By conducting thorough pre-submission reviews, we help practices reduce errors, improve claim acceptance rates and accelerate cash flows.

Submission of Claims & Rejections

Our team handles the electronic or manual submission of claims to insurance providers, ensuring all documentation and coding meet payer requirements. We also manage rejected or denied claims, identifying the reason for rejection, correcting errors and resubmitting them promptly to maximize reimbursement.

Payment Posting

Our team ensures that insurance and patient payments are correctly recorded in your system, matching each payment to the appropriate claim and account. By handling payment posting with precision, we help practices maintain up-to-date accounts, identify outstanding balance and streamline revenue cycle management.

Accounts Receivables (AR) Follow-up

Our team monitors unpaid claims, contacts insurance providers and follows up with patinets to ensure timely payments. By managing AR follow-up diligently, we help practices minimize delays, resolve payment issues quickly and improve overall revenue collection.

Effective Communication

Our customized reporting services provide tailored financial, operational and clinical reports that give you a clear view of your practice's performance. We create reports that track revenue, claim status, patient visits, insurance trends and key performance metrics, helping you identify opportunities, streamline workflows and make strategic decisions.

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