Transmission and retrieval of claims
Medical records of patients contain vital demographic information such as a summary of diagnoses‚ the medical history and regular updates on visits with physicians. We receive medical records‚ charge sheets‚ and top sheets, scanned insurance cards‚ and other patient information from hospital or clinic into our software or client′ s software. Our staff will then retrieve the information from the specific software and look for any illegible or missing information in the documents. If there are any errors, the hospital or healthcare provider is immediately notified and asked to re-send the documents.
Medical coding
An important step in claims processing, medical coding fixes the procedure and diagnoses codes for each patient based on CPT and ICD -9 standards. Once documents are checked and verified and the coding is completed, our medical billing team creates medical claims while adhering to rules pertaining to the specific carriers and locations. Claims are created within a 24-hour period.
Medical claims audit and transmission
The claims are then put through a rigorous auditing session which involves extensive checking at multiple levels. The completed claims are once again quality checked for valid and complete information, appropriate procedures and diagnoses codes. The single most common cause for rejection of claims is the submission of incomplete/incorrect information. The efficient medical billing process at MDboss Inc. completely eliminates such chances. The claims are then filed to transmission department for electronic submission along with all necessary information and supporting documents for each claim.
Receive audit reports within 2 hours of electronic submission
We receive audit reports from the clearinghouse with notification of errors or omissions in the claims. These reports shall be available online and can be accessed by the client office according to their requirements.
Follow-up and settlement
This is the final and most important step in the medical billing process. Hospitals and healthcare facilities no longer have to chase insurance agencies for settlement of payments. We will ensure that we follow-up persistently till the provider gets paid and the final settlements are made.
Financial reports
We facilitate our client by providing them access to our web based financial reports. The client can access Aging reports, Patient balance reports, Capitation reports, Claim generation reports, Virtual Employee task reports, and any other specific report if the client so desires.
Regular meetings with the Account Executive
The client can have a monthly meeting with this executive so as to solve any existent discrepancy or to seek any clarification with respect to his account. You can divulge any relevant information if so required to this executive so as to help us serve you better.
