Why Choose Our MedReck BPM Medical Billing Services?

Patient Registration and Insurance Verification

The billing process initiates with precise patient registration. Our team meticulously inputs all essential patient information, such as demographics and insurance specifics, into your system. Additionally, we confirm insurance eligibility and benefits to prevent claim denials stemming from coverage complications.

• Precise data input
• Verification of insurance and pre-authorization processes
• Immediate eligibility assessments

In addition to eligibility checks, our team handles authorization in medical billing with accuracy and speed. We manage prior authorization in medical billing by coordinating directly with insurance providers to obtain approvals before services are rendered. This proactive approach helps prevent avoidable claim denials, treatment delays, and revenue loss, ensuring a smoother billing workflow from the very beginning of the revenue cycle.

Charge Entry and Coding Services

Precise coding is crucial for optimal reimbursement. Our certified coding professionals guarantee that your claims are coded correctly in accordance with the most current ICD-10, CPT, and HCPCS coding standards.

An essential part of our billing workflow is precise charge entry in medical billing, where every billable service is accurately captured and recorded. Our team ensures that charges align correctly with clinical documentation and approved authorizations, reducing coding errors and missed revenue opportunities. Accurate charge entry supports clean claims, faster reimbursements, and full compliance with payer requirements.

• CPT, ICD-10, and HCPCS coding
• Code reviews for accuracy
• Compliance with coding guidelines

Claims Submission

Our team efficiently submits accurate claims either electronically or in paper format, based on the requirements of the payer. We collaborate with all major insurance providers and government payers to guarantee prompt submission.

• Accurate claim submission process
• Electronic and paper formats
• Collaboration with all payers

Payment Posting and Reconciliation

Upon receipt of payments, our team meticulously posts them to your practice's billing system. We perform a thorough reconciliation of all payments against the Explanation of Benefits (EOBs) to guarantee the absence of discrepancies.

• Payment posting
• EOB reconciliation
• Address discrepancies in payments

Accounts Receivable (AR) Management

Our AR management services are designed to minimize outstanding balances and enhance cash flow. We proactively pursue unpaid claims and strive to decrease your days in accounts receivable.

• Pursuit of unpaid claims
• Management of denials
• Appeals for denied claims

Management of Denials and Appeals

Claim denials can incur significant costs and require considerable time to resolve. Our team conducts a thorough review of denied claims, determines the reasons for denial, and promptly submits appeals to secure appropriate reimbursement.

• Analysis of denials
• Prompt appeal submissions
• Resubmission of claims

Patient Billing and Collections

We manage patient billing with a high level of professionalism and attention, making certain that patients are fully aware of their financial obligations. Our flexible payment options and transparent communication aim to reduce any potential misunderstandings.

• Patient statements
• Payment plans
• Customer support for billing inquiries

Reporting and Analytics

We offer comprehensive reports and analytics that provide valuable insights into the financial well-being of your practice. Our reporting tools enable you to monitor key performance indicators (KPIs) and pinpoint opportunities for enhancement.

• Tailored financial reports
• KPI monitoring
• Analysis of revenue cycle performance