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Streamline Your Medical Billing with ResolvaBill MBS
Medical Billing and Coding
Proper billing and coding is an essential component to guaranteed reimbursement. The smallest mistakes are avoided through accurate billing practices.
Charges are entered, reviewed for errors, and prepared for clean claim submission electronically using CMS 1500 or UB04 to primary, secondary, and tertiary carriers within 48 hours.
Insurance Eligibility, Benefits Verification, and Prior Authorization
- Patient insurance eligibility verification is critical. Verifying eligibility and benefits will eliminate denials and assist in obtaining prompt reimbursement for services rendered, especially when it comes to securing prior authorization.
- Verification is performed daily to confirm active coverage, network status, verify out of pocket costs, and preparation for collection.
Payment Posting, Rejections, Denials, and Soft Collections
- Posting payments timely will aid in the crediting to proper accounts, management of your accounts receivable, and reporting.
- All carrier payments, deductibles, and adjustments are posted upon receipt to accurately track collections, generate patient statements, and produce true reports. Denials and rejections will receive immediate follow-up to collect on monies owed to providers and practices. If needed, we will handle the appeal process.
AR Management
- AR Management produce proper maintenance of accounts receivables and produce an array of advantages. Advantages include the building and maintaining of loyal customers, the tracking of collections and credits, and overall fiscal success.
- Review of aging reports is performed weekly to monitor claims aged over 45 days to aid in collection process. In addition, review cash receipts, reconcile outstanding balances, and assess allowance for doubtful accounts.
Analytics and Reporting
- Analytics and reporting offers targeted delivery of data, increased productivity, and employee satisfaction. In addition, improved decision-making and increased organizational communication and collaboration.
- Providers are provided with detailed monthly, quarterly, and annual reports to monitor cash flow, progress, and performance.
Credentialing and Contracting
- Ensuring credentialing and contracting is completed demonstrates the quality of practitioners and physicians that provide healthcare services, while generating revenue.
- We will apply to health insurance networks for inclusion to their provider panels and gain a contract after approval. Completing this process will secure in network status and reduce reimbursement delays.
Consulting
- Gain an outside prospective to enhance revenue management and organizational goals.
- Using a business professional affords the opportunity to gain an outside perspective, bring in new skills to identify trends, implement new changes, educate staff, and save time and money.