Hospital Billing Services
Improved Strategies to Fast and Authentic Reimbursements by availing our Hospital Billing Services
Every hospital has its own justified and timely reimbursement services that could be provided aimed at improving the performance of the organization on the side of the patients. However, reimbursement can be affected by weight, such as changes in the rules of the payer, sticky or denial of claims and recovery of the lost amounts in billing in medical practices. This is where our hospital billing company, one of the most professional hospital management services, comes to solve such problems. Therefore, one can always concentrate on people rather than the bureaucracy and other related procedures that are not necessary.
Our Hospital Billing Services
- Authorise Medicare, and other types of health insurance for patients.
- Promoting proper coding of hospital procedures following CPTs, DRGs as well as ICD requirements
- In an effort to fight against getting rejections and denial of certain claims, scrubbing is done.
- Faster and electronic submission of accounts to all your contracted payers
- Why and how to follow up and appeal claims to ensure the maximum reimbursement is achieved
- Making payment postings and creating invoices for the patients
- Offering ad-hoc analysis capability for measure of performance
- By engaging payer-specific submission platforms and protocols
- Maintaining compliant coding and documentation
- Fulfilling of prerequisites to get pre-authorization and precertification
- Medical necessity for hospital billing and coding services
- Appropriate length of stay
- Coding of the incidents according to documentation
- Payer-specific authorization requirements
How We Achieve These Goals
Verifying Patient Insurance Eligibility
In the case of billing, it is, therefore, very important to consider the ratio of the insurance clients and insurance coverage. This is one of the specific activities that we offer under our over-arching hospital management services. It helps guarantee that the service rendered is according to the insuring plan the patient has to avoid cases where an insurer denies to compensate the expenses incurred. When you outsource hospital billing to us, we take responsibility for the following steps.
Coding Hospital Procedures
Therefore, much attention needs to be given to coding various aspects of billing services procedures in a given hospital to improve billing and reimbursement. CPT, DRG, and ICD compliance facilitates documentation and billing of services rendered to the client hence; minimizing chances of claims denial and enhancing financial reporting.
Scrubbing Claims
This is also known as scrubbing, whereby the staff in the hospital billing company ensures that every claim is clean of any mistake which could be in existence, before presenting the same to the insurance company. It reduces the chances of being declined or having a claim declined and therefore increases the processing and reimbursement of claims.
Rapid Electronics Submission
Claims are submitted to the contracted payers as early as possible by using fast electronic methods of claim submissions. It shortens the turnaround time in which recipients receive payment from the time services are rendered.
Following Up
These have regular follow-ups and appeals as standard components in our hospital management services for the improvement of reimbursement. This includes knowledge of the fate of all submitted claims, knowledge of the denied claims and monitoring of the appeals process with the aim of ensuring such appeals needed for reimbursement of services are reimbursed as required.
Posting Payments
The proper posting and updating of the amount posted on a regular base, and the preparation of patient's bills are also helpful in controlling the oversight of operational finances and the patients. This process is useful in charging accounts together with accounting for the bill to be paid by patients.
Providing Customizable Analytics
Such information may also be helpful to be utilized as a reference tool in achieving a broad view of hospital billing and its results and therefore assist in discovering the trends, benefits, threats and opportunities in handling the RCM.
Assured Accuracy and Compliance
Having certified ourselves as an ISO company, we endeavor to offer quality hospital billing services that have met some of the most stringent quality management procedures. When working with your hospital, our trained team improves your billing and coding. We also make sure to follow all the rules of HIPAA as well.
Professional Expertise and Swift Turnaround
Our experienced staff is always well prepared to offer services on time to enable the management of your company’s revenue cycle. Using our vast knowledge of payers and strong contract management experience, we disentangle the maze of hospital billing, including coding documentation and pre-authorization.
Denial Prevention and Recovery
Since denial management is one of the distinctive methods in our health facility, it assists in the identification of potential issues and does not involve many refusals in the claims and cash. The strategies used include identification of reasons for denials, including Medical necessity, improper coding, and authorization rules of the payer, and developing and executing intervention strategies that can reduce the repeating nature of the denials.
Robust Data Security and Compliance
Unify is a hospital billing service and this place is also HIPAA compliant So all the standards of HIPAA are constructed here. To confidentiality, we ensure that all the data is protected by firewalls, Virtual private networks (VPNs), and Secure Socket Layer (SSL) among other measures against data leaks.
Continuous Process Improvement
The claims audits of our coders ensure as frequently as possible to retain the accuracy of the call to the highest level at any given time, furthermore, the coders practice frequently and consistently. This indicates the development of increased dynamism in our activities as to address the changes within the healthcare need.
Cutting-Edge Technology Integration
After this, we integrate hospital billing software in note enhancer software like MediTouch, Nextgen, etc for your revenue cycle and ensure that it is making money. They complement any existing electronic health record and practice management system of any hospital; therefore, they just fit in.
What Our Clients Say
BECOME AN AUTHORIZED ALTMED HOSPITAL BILLING COMPANY!
Are you prepared and willing to grow up and optimize your reimbursement cycle to be on time, accurate and more revenue?
Do not let it be another day where you get a poor outcome as a result. Just pick up the phone and give us a call for your free consultation to see how the hospital billing staff can change your financial department for the better.