As one erroneous data entry can lead to the rejection of all the claims of a patient so our data entry professionals assure the accuracy of each entry of the patient information resulting in the successful processing of claim.
Eligibility for each patient for every date of service is verified from website, IVR or live call so that claim gets processed in right way. This also includes the verification of coordination of Benefits as well.
We are proficient in ICD & CPT usage which ensure the reimbursable completion of Charge as per LCD/NCD guideline. We continuously update ourselves regarding any coding changes (ICD & CPT changes/ specially HCPC codes updates) to avoid your revenue cycle delay.
Our Medical Billing professionals will create appropriate medical claims/bills according to billing rules pertaining to specific carriers and locations. All medical claims are created within agreed turnaround times.
A systematic audit and checking of the completed medical claims is performed at multiple levels before submission. The medical claims are checked for valid and complete information, correct procedure and diagnosis codes and actuality of all other relevant information about the patient since incomplete/incorrect information is one the single most common cause for denial of medical claims.
The complete audited claims are submitted to payers electronically/paper (with necessary documentations if required) in a timely fashion. EDI rejections are reviewed on the very next day of submission, all are resolved and a log is maintained on daily basis to keep the record for learning and educational purposes.
Payments are posted by Electronic Remittance Advise/Explanation of Payments with high proficiency & denied claims forwarded to Follow-up Team for further processing. Payments are also reconciled on daily basis to have the actual picture of payments.
This involves the aggressive follow up by our professional Medical Billing team in taking the correct action against denial/pending claims for reimbursement. This includes the argumentation/negotiation with insurance representative to get the claims paid in full. Appeals are also processed in a case if a claim goes out of timely filing limit or otherwise applicable.
Work status reports are sent to the client’s office on a daily basis. Other weekly, monthly, biannual & annual reports are also compiled to show progress of business.
Let’s discuss your revenue cycle
management needs
+1 713 309 6061
info@elkcure.com
12333 Sowden Rd ste b, Houston, Texas 77080
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