Is your job too demanding to handle the laborious billing process? Are you all stressed trying to juggle between patient care and claims recovery? Worry not! We, at MediCodeBill, the major gastroenterology billing company, understands your struggle to handle both medical treatments and remuneration during recovery. Whether the claimant is a doctor or an individual we ensure that billing is the least of your worries and help you focus on providing the best treatment for disorders of the digestive system.
We handle all gastronomy billing services. Our solution saves time and resources plus, cuts the cost of hiring and training staff for billing function. We are transparent with the billing process and available to clear your billing concerns at any given time. Outsourcing insurance gastroenterology billing claims has never been simpler.
As per the list of documents provided, we authenticate and cross-verify details such as policy date, information on deductibles, co-insurance particulars, payable benefits, every minute detail of coverage, details regarding co-payment options, etc. We verify and check all data ensuring that no payments are due by you towards the insurance company before starting the claim process. We gauge the pay-out in the initial stages itself and prepare you for the secondary insurance claim option if need be.
All invoices, bills, prescriptions as per case files are checked for their authenticity before gastroenterology billing. We access and identify any documentation that could lead to the potential delay or denial of the claim process. Note that any fraudulent information leads to cancellation of the claim process.
Information to be entered includes patient demographic, consulting doctor and hospital details, corresponding codes, etc. We meticulously enter all data into the latest billing software. We send across an e-copy and/ or a hard copy.
All data entered is cross-checked after typing into the billing software to ensure that no complications develop during processing. The filing of claims is as per the terms and conditions put forth by the insurance company. Your approval is taken before sending across any data and only when you give us the go-ahead do we proceed. Claims that pass the final editing process are then translated to HIPAA-compliant ANSI format and emailed to the insurance company.
In this process, we seek prior permission so that we can anticipate the final payout. This will, in turn, help us comprehend the outcome and accordingly opt for second insurance benefits. We help send across X-rays and/ or your medical charting for the same if requested. Thus, final remittances can be gauged from pre-authorization. We implicitly guide you on how to proceed in such cases. Without pre-authorization, an insurance company can be inclined to deny payments. Hence it is strongly recommended.
Any applications with incomplete details, mismatched codes, invalid documentation are electronically (and sometimes manually) weeded out once entered into the billing software. Approved documents are reviewed for any discrepancies and as per agreement according to the insurance payer's terms and conditions. All approved claims that pass this stringent step are then issued a remittance advice statement.
We particularly invest time in cases that are down-coded or collated to ensure that no payout is missed out on. We make appeals if we find the reimbursement amount reduced in any such instances.
An explicit list on deductibles, co-payments options as well as insurance plan exclusions is prepared for your consideration that will clearly explain the gastroenterology treatment expense covered by the healthcare/insurance provider as well as the payments that you could be responsible for.
Based on the treatments provided/ undergone, compile all reports articulately and ensure that all details are mentioned. These include patient and doctor/hospital particulars, claim amount due, several services billed and their charges, corresponding codes, adjustments, payments (co-payments, and deductibles), previously paid and unpaid amounts as well as secondary insurance specifics, etc.
We assertively discuss all claim rejections and denials with the insurance provider. Any denials are extensively checked and subsequently, an appeal is made for reconsideration. Our team is persuasive in granting settlements in previously denied claims caused by any invalid or missing data, incorrect diagnosis/service code, misspelling or date mismatch, etc.
We ensure that all corrections are made as per requirement and resubmit them as fresh applications. We have an in-depth understanding of billing medical insurance and their corresponding codes. Once approved, we file the denied claim as a new application.
Our experts provide complete help and guide you on the steps that need to be undertaken in case of any lost or misplaced documents, bills, invoices, or any crucial data that could lead to prospective rejection and/ or denial of your claim. We quickly sort out any unforeseen complications.
We maintain a data repository that includes total information of the claim’s particulars, code information, patient and treatment center details, doctor particulars as well as treatment undertaken. Any information can be easily retrieved in the future. The database is secure with restricted access. We can be contacted at any stage for a duplicate copy of any claim papers.
A complete list of deductibles, co-payments options as well as insurance plan exclusions. We reveal your alternate methods of remittances and how to go about it in cases when the claim doesn't compensate you fully.
With highly convincing verbal and written communication skills, we provide complete support for successful claim approval. You do not have to fret as we communicate with the concerned authorities to obtain alternate copies of any bills or prescriptions in case of any mandatory missing information.
All payments are extensively checked for any errors by our accounts team. There's no scope for losing out on payments with our thorough checks.
We are equipped with the latest information on codes required to bill for insurance plan submission. We are aware of all new updates of the codes as per the terms of the Centers for Medicare and Medicaid Services (CMS) reimbursement norms.
The ERA reflects all payments. We ensure that you acquire your remittances at the earliest. We speed-up any old remittance payments due. Any calculation errors, co-payments, as well as sums to be recovered from secondary insurers, etc., are promptly dealt with.
We take care of posting insurance payments by carefully feeding payment amounts in the billing software. In cases where insurance payers sometimes bundle several payments in one check or deposit, we sort out the payments to ensure that you are compensated as promised. In cases where you do not receive full dues, we distinctly explain how to recover the balance from secondary insurers. The above procedure is crucial to determine and ascertain that full remunerations are obtained. It also reveals the balance of patient payment.
You can check the progress of your application via the tracking link provided to you. We take immediate action against any obstacles that arise during the tracking process.
The processing of all gastroenterology billing is done coherently. The methodology followed by us for billing is as under -
In addition to our core offerings, we pride ourselves on delivering a wide range of supplementary services designed to meet your every need. Whether you require personalized consulting, ongoing maintenance, or specialized support, our team is equipped to provide tailored solutions that enhance your experience. We go above and beyond to ensure that all aspects of your requirements are met with the highest level of professionalism and care.
Revenue Cycle Management
We provide comprehensive revenue cycle management services, aimed at optimizing your healthcare organization's financial performance and ensuring a seamless flow from patient registration to final payment.
CPT Coding Service
CPT(Current Procedural Teminology) coding services ensure accurate representation of medical procedures, facilitating appropriate reimbursement and reducing the risk of coding errors.
Denial Management
We offer effective denial management solutions, geared towards analyzing and resolving denied claims, thereby reducing loss and improving your revenue.
Eligibility Verification
The eligibility verification service ensures that patient insurance coverage is verified before services are rendered, minimizing the risk of claim rejections and delays in payment.