At our medical billing company, we are committed to providing reliable and efficient billing services to healthcare organizations of all sizes. With our experienced team and cutting-edge technology, we strive to maximize reimbursements, minimize denials, and improve overall revenue cycle management for our clients.
In addition to handling your daily billing and claims needs, we specialize in Aging A/R recovery.
We pursue every old claim by assigning our dedicated team of Aging A/R specialists. If your in-house billing team can’t keep up with Aging, we can help!
Click through our slides to see all of the billing services we handle.
Government credentialing typically applies to programs such as Medicare and Medicaid. The process involves submitting an application to the respective government agency, which evaluates the provider’s qualifications, credentials, and compliance with program requirements. This includes verifying licenses, certifications, education, training, and any other necessary credentials. The government agency assesses the provider’s eligibility to participate in the program and determines whether they meet the required standards.
Commercial credentialing refers to the process of becoming an approved provider for private insurance companies. Each insurance company has its own credentialing requirements and procedures. Providers are typically required to complete an application form and provide supporting documentation, such as licenses, certifications, malpractice insurance, and references. The insurance company reviews the application, verifies the credentials, and evaluates the provider’s qualifications. The process ensures that the provider meets the insurance company’s standards for network participation.
Private credentialing applies to organizations or facilities that operate independently, such as hospitals, clinics, or private practices. The process involves a comprehensive review of the provider’s qualifications, experience, training, and credentials. This includes verifying licenses, certifications, education, references, and other relevant information. Private credentialing aims to ensure that the provider meets the organization’s standards for quality and patient safety. The credentialing process may also involve background checks, peer reviews, and interviews.
Proper coding, verification and authorizations
Teach your team how to keep up with Aging A/R
Government, commercial and private billing
Avoid denials for the most common reasons
Handling patient inquiries, payment posting & adjustments
Put your team in the best position for success
Insurance accounts receivables is a common problem within all type of medical practices. This causes reduction in cash flow and loss of revenue. In my experience most denials were due to turnover, new hires, and not enough training.
I am a medical office and billing coordinator who understands the running a practice. I have 12 years’ experience working behind the desk. Most of those years was working denials related to no authorization, insurance inactive, wrong member id, services non-covered. I’ve also worked along side billers who didn’t know how to read an explanation of benefits. I would like to help providers decrease denials and save time making sure their staff are trained on the basics of working in a medical practice.