Revenue Cycle Management Services

Medical Billing

Medical Billing

We serve with analytics for an easy, simple way to provide services. Our web application helps your practice easily manage patients and the complications that come with billing insurances.


Insurance verification

Insurance verification

We maximize your cash flow, minimizes your denied claims and keeps your patients happy. We confirm your patient’s coverage and benefits, whereas insurance authorization gives you a green light to provide certain services.

Account Receivable

Account Receivable

We provide money owed to Providers or medical billing companies for the medical care rendered to patients. We help in the collection of processes such as, identifying denied/unpaid claims.

CREDENTIALING

CREDENTIALING

We help to enroll and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans. In credentialing process, we validate that a physician meets standards for delivering clinical care.


RE-VALIDATION

RE-VALIDATION

We help you in the most efficient way to submit your revalidation. We allow you to: Review information currently on file. Upload your supporting documents. Electronically sign and submit your revalidation online.


EFT SETUP

EFT SETUP

We use health plans to order a financial institution to electronically transfer funds to a provider's account to pay for health care services. An EFT includes information such as: Amount being paid. EFT allows for the electronic deposit of money directly into a bank account.

Merit-Based Incentive Payment System

Merit-Based Incentive Payment System

Our services help healthcare providers navigate the complexities of MIPS reporting, ensuring compliance and maximizing potential incentives. We provide detailed guidance on performance categories, data collection, and submission to enhance your practice's financial health and operational efficiency.

Reports

Reports

We provide detailed financial statement reports that give you deep insights into your practice’s revenue cycle, helping you identify trends, make informed decisions, and improve financial health. Our comprehensive reports cover all aspects of your financial operations, including revenue, expenses, and profitability, ensuring you have a clear understanding of your practice's financial standing.

Crucial Follow-Ups

Crucial Follow-Ups

We conduct crucial follow-ups on outstanding claims and patient balances, ensuring that all due payments are collected and no revenue is lost. Our team diligently tracks unpaid claims and patient balances, initiating follow-up actions to resolve any issues and secure the payments your practice is entitled to.

Web-Based Medical Billing Software

Web-Based Medical Billing Software

Our state-of-the-art, web-based medical billing software allows for seamless, real-time access to billing and payment information, enhancing your operational efficiency and providing you with the tools to manage your practice effectively. This software integrates with your existing systems, offering features such as automated claim submission, real-time reporting, and patient account management, all accessible from any location.

Telehealth

Telehealth

Our billing services extend to telehealth, ensuring accurate coding and billing for virtual visits. We stay up-to-date with the latest telehealth regulations to maximize your reimbursement. Our team is well-versed in the specific billing codes and requirements for telehealth services, ensuring compliance and optimizing your revenue from virtual care.

Dedicated Team

Dedicated Team

Our dedicated team of experienced professionals works closely with your practice, offering personalized support and expertise to handle all your billing needs efficiently. Each member of our team is committed to understanding the specific requirements of your practice, ensuring that you receive tailored solutions that enhance your operational efficiency and financial performance.

Transcription

Transcription

We offer reliable transcription services to accurately document patient encounters, which supports efficient billing, compliance, and continuity of care. Our transcription services ensure that every detail of patient visits is captured accurately and promptly, reducing errors and enhancing the quality of your medical records.

Structured Charge Entry

Structured Charge Entry

Our structured charge entry process ensures that all charges are captured accurately, reducing errors and maximizing your revenue. We meticulously review and enter all charge data, verifying the accuracy and completeness of each entry to prevent discrepancies and ensure that you receive appropriate reimbursement for all services provided.

Appeals

Appeals

Our skilled team manages appeals for denied claims, working diligently to overturn denials and secure the payments your practice deserves. We analyze the reasons for claim denials, gather necessary documentation, and submit detailed appeals to insurance companies, effectively advocating for your practice's rightful reimbursements.

Fast Claim Submission

Fast Claim Submission

We prioritize fast claim submission, ensuring all claims are processed promptly to expedite reimbursements and maintain a healthy cash flow. Our efficient claim submission process minimizes delays and errors, allowing you to receive payments faster and improve your practice’s financial stability.

Reliable Claim Scrubbing

Reliable Claim Scrubbing

Our thorough claim scrubbing process reduces the risk of claim denials by ensuring that all claims are accurate and complete before submission. We review each claim for coding accuracy, compliance with payer requirements, and completeness, significantly reducing the likelihood of denials and rejections.

Billing and Collections

Billing and Collections

We handle all aspects of billing and collections, from generating statements to following up on overdue accounts, ensuring timely resolution of outstanding balances. Our proactive approach to collections includes regular follow-ups, patient communication, and negotiation of payment arrangements to ensure that your practice receives the revenue it is owed.

Payment Posting Process

Payment Posting Process

Our accurate and efficient payment posting process provides clear records of all payments and adjustments, helping you maintain precise financial records. We ensure that all payments are posted promptly and accurately, reflecting any adjustments, write-offs, or patient payments, thereby maintaining the integrity of your financial data.

Financial Statement Reports

Financial Statement Reports

Receive comprehensive financial statement reports that detail your practice’s financial health, helping you identify areas for improvement and make strategic decisions. Our reports include detailed analyses of revenue streams, expense patterns, and profitability metrics, providing you with actionable insights to enhance your practice’s financial performance.

About

Care Medical Billing Services and Management has been a trusted partner in the medical billing industry for over 15 years. We are committed to delivering unparalleled billing services with a focus on customer satisfaction and operational excellence. Join us and experience the difference.

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