AR Caller

Healthcare providers usually require an effective mechanism for collecting payment for their services, both for the initial claim or when pursuing an outstanding balance. Accounts receivable (AR) calling offers businesses a wide range of ways to engage with insurance companies and helps them collect payments efficiently. AR professionals initiate the communication process and ensure timely follow-up.

Medical Coding

In US healthcare, medical coding involves translating diagnoses, procedures, and services into alphanumeric codes for billing and claims processing. This utilizes standardized code sets like ICD for diagnoses and CPT/HCPCS for procedures. Accurate coding is crucial for reimbursement, claims processing, and regulatory compliance, playing a pivotal role in revenue cycle management and healthcare analytics.

Medical Billing

Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider organizations. After translating a healthcare service into a billing claim, the medical biller follows the claim to ensure the organization receives reimbursement for the work the provider performed.

Accounts Receivable

In US healthcare, Accounts Receivable (AR) represents outstanding balances owed to providers by patients, insurance companies, or third-party payers for medical services. It includes billed amounts covering co-payments, deductibles, and pending insurance reimbursements. Effective AR management entails tracking, billing, and collecting these balances promptly to ensure accurate reimbursement for services provided.

Practice Management Services

Full Practice Management Services in US healthcare offer comprehensive solutions for managing administrative, financial, and operational tasks in healthcare practices. These include medical billing, appointment scheduling, EHR management, insurance verification, revenue cycle management, compliance support, reporting, patient communication, and practice consulting. The aim is to streamline operations, maximize revenue, improve patient care, and ensure regulatory compliance.

Insurance and Eligibility Verification

Insurance and Eligibility Verification in US healthcare entails confirming patient insurance coverage and assessing eligibility for medical services. It involves verifying policy details like coverage dates, co-payments, and deductibles to ensure accurate billing and reduce claim denials. This process streamlines administrative tasks, optimizes revenue cycle management, and enhances patient satisfaction by minimizing billing errors and delays.