If you’re looking to outsource some or all of your medical billing to a professional medical billing company, you may be wondering what tasks they’ll take over and what you’ll still have to do in-house. With PayrHealth’s revenue cycle management solution, you won’t have to worry about a thing when it comes to claim submission, patient follow-up, or communication with insurance companies.
Here’s a comprehensive list of the services we provide as a medical billing company:
Bills and Claims Submission
Our core service automates the billing and claim submission process by integrating with your electronic medical records (EMR) system, pulling each visit’s details, relevant patient information, and other data directly into a standardized claim form. Then we run a series of claims scrubbing tools over each claim that needs to be sent to a payor to ensure the information is complete and the appropriate codes are utilized to ensure maximum reimbursement.
In addition, when claims are denied, our team handles all the necessary follow-up, resubmitting claims and escalating issues to ensure your practice always gets the revenue you count on when providing care.
Verification of Benefits
It’s infuriating to discover that a service you rendered to a patient isn’t covered under their specific benefits, leading to denied claims and amounts in accounts receivable remaining far longer than they should. With our medical billing services, we help your team ask the right questions to determine whether a patient’s insurance plan will cover certain services before you render them.
Credentialing
If a new physician or treatment renderer joins your team, or you want to contract with a new payor, we handle all the necessary credentialing. This includes commercial payors as well as government payors, including Medicare, Medicaid, and VA insurance. We keep your active staff and providers updated to ensure you don’t miss out on reimbursement due to not having credentials with a given payor.
Utilization Review
In addition to verifying patient benefits, we also obtain authorization from payors to perform certain services when you’re able to but not currently contracted for certain codes. We understand that the insurance landscape is confusing and constantly changing, which is why we advocate on your behalf to meet the requirements of insurers to guarantee maximum reimbursement in a timely manner.
Patient Payment Collection
Another time-consuming task your staff handles on a daily basis is communicating with past patients who still owe for the services you render. We reach out by phone, e-mail, and mail to secure these payments, freeing your team up to handle other important tasks.
Accounts Receivable Management
With revenue cycle management, PayrHealth constantly monitors your practice’s accounts receivable to see which outstanding payments you’re yet to receive, then pursues the payor or patient who owes the balance. We also post payments in a timely manner and record both paper and electronic filings for your records.
Transparent Reporting
Any medical billing company should ensure you have access to the most up-to-date financial information regarding the services we provide, which PayrHealth provides in addition to monthly meetings to discuss our goals and progress. During these reporting sessions, we’ll go over claim submission and acceptance rate, the state of accounts receivable, and major transactions during the last period.
Medical Billing Services Save You Time and Earn You Money
Outsourcing the tedious and fickle tasks that take your team’s attention away from providing excellent care can be a great strategic advantage when you partner with experts like those at PayrHealth. Our team’s sole focus and expertise is in revenue cycle management, and we have experience in all 50 states to ensure you get paid more and more often for the services you provide. Learn more about what we can do for you by calling us or contacting us online today.
