Patient information, scheduling, insurance verification, referrals, and follow-ups are completed before the visit. Coverage and benefits are confirmed, including whether the provider is in network.
After the specialist signs the EMR with date and time, the biller creates the charges. This includes CPT codes, ICD-10 diagnosis codes, insurance details, and provider information.
The bill is sent to the clearinghouse, where it becomes a claim and is submitted to insurance. Errors at this stage are rejections, not denials, because insurance has not processed the claim yet.
After insurance processing, any remaining patient responsibility is reviewed. If applicable, the patient is billed for the remaining balance.
ERA, EFT, or check information is received and reviewed after insurance processes the claim. Payments are posted and distributed to the correct patient accounts.
Claims are monitored after submission, especially when there is no response within 30 to 45 days. Denials and unpaid claims are worked by aging: 0–30, 31–60, 61–90, and 90+ days.
Expert management of IV therapy billing, ensuring compliance and optimal reimbursement.
High-volume claim processing with rapid coding turnaround for ER groups.
Navigating the complexities of behavioral health authorizations and tiered billing.
Comprehensive support services tailored for behavioral health providers.
Precision in oncology billing, mastering complex treatment protocols and payer rules.
Accurate billing, authorization, and claims support for imaging and diagnostic services.
Billing for neurological practices, ensuring optimal reimbursement and compliance.
Specialized lien management and legal coordination for specialty practices.



























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