We provide a range of healthcare services for our clients based in the United States. These services are largely focused on medical billing. By using our services, you can reduce your costs by almost 75%. You can save massive amount of dollars by eliminating the need for further employees, technology, and office space. Here’s an overview of our highly efficient medical billing services:
Eligibility and Verification
Before the patient’s visit, the healthcare providers must verify his or her eligibility. This is done to receive payments for the services offered. One big reason for many of the claims getting denied is the patient not being eligible for the services offered by the healthcare provider. This clearly explains the importance of this process.
On the other hand, ineffective eligibility verification or prior authorization can also have some serious implications. It often results in additional effort on rework, delayed payments, and delays in the patient’s access to care. Eventually, the patient feels dissatisfied with the service and the claim may not be paid.
Our team of experts at iGrowh Services help you in accelerating the accounts receivable cycle of your client. We get the eligibility of the patient verified and obtain prior authorization before his or her visit.
All the processes involved in verifying the patient’s eligibility are streamlined by our team members and completed on time. This saves much of your operational costs and allows you to focus more on growing your business.
Payment Posting
The effectiveness of your revenue cycle depends on the efficiency of the payment posting process. This process helps you perform an analysis and understand the trends in reimbursements. Accuracy in the posting of payments provides clarity on the state of your revenue cycle. It is, therefore, extremely necessary that you choose a highly efficient team for payment posting.
We at iGrowh Services process several types of remittances that are received. This is done by our team with high degree of accuracy by following the procedures exactly as defined by our clients. You can be assured of the highest degree of quality in our payment posting process.
Accounts Receivable (A/R) Follow-up
Our A/R Follow-up process helps you understand the delays in accounts receivable. This leads to prompt follow-ups with the patients and insurance companies. For greater efficiency of this process, we have a team of follow-up specialists.
They work with a clear action plan with all the policies and procedures for the A/R follow-ups in place. This helps you focus on getting the claims resolved, save time and efforts, improve collections and reduce the A/R days.
Credit Balance Services
Credit Balance refers to the excess amount of money received compared to the charges of the medical services provided. It is among the most significant risks in the healthcare revenue cycle. Such situations may arise owing to several reasons. The major reasons are over-payments from payers and excessive payments from deductibles and co-pays.
In such cases, the healthcare providers must refund the credit balance amounts without delays. Failure to do so may result in litigation and significant amounts in fines. This may ultimately lead to negative publicity of the healthcare provider, which would reduce patient visits to a great extent.
Our team analyzes each of the accounts of patients, validate credit balances, and initiate refunds to clear the account balance. This protects your image and improves your relationship with the healthcare payers.
Charge Entry
Charge entry is the process of charging an appropriate dollar value to the account of the patient. This amount is charged according to the medical code chosen and its corresponding fee schedule. The charge entered for the medical services offered determines the reimbursements for the healthcare provider’s services.
It is essential that the Charge Entry process be completed without any errors. If this is not done, the claim denials may increase. We at iGrowh Services have an excellent collaboration between the Charge Entry and Coding teams.
This ensures that the codes are compliant, the charges entered are accurate, and all procedures are billed. We maintain high levels of productivity and accuracy in the entry process through the most appropriate targets for our agents.
Coding Services
In this process, the universal alphanumeric codes are applied to the healthcare services offered. These services include medical procedures, diagnosis, medical services, and the equipment provided. A coder uses the medical record of the patient to assign the diagnosis and procedure codes.
The procedure of coding involves assigning the right diagnosis and procedure code by collecting information from the available documentation. This is then used for creating a claim to be submitted to the payers. Our coding team assigns the right codes according to the clinical documents provided and the processes defined by our clients.
This is done through detailed work instructions. Every work done by coders is reviewed by a knowledgeable, certified, and experienced auditor. Every coder in the coding team goes through a comprehensive training process and ongoing refresher training sessions. This ensures timely filing of claims and consistent reporting of clinical information.
