Our provider credentialing services include both veterans and new healthcare providers in the industry. There is a dedicated team of credentialing specialists who will take care of all the meticulous paperwork and check all the information needed to obtain credentialing/re-validation from payors.

At Medical Billing Outsource, our team is committed to carrying out insurance eligibility verification thoroughly. This check should be done before the patient visit as it will show whether a patient is fully covered by insurance for the treatment sought. If not, it will show the amount of co-pay that has to be paid by the patient.

This is again a front-office service but important nevertheless. All data relating to the patient should be carefully entered into the system. Carelessness or incomplete work is likely to lead to rejections by the payor. Outsource medical billing services to us. We will eliminate your worries regarding eligibility verification and demographics entry.

Superbill or encounter form contains all data needed to prepare claims. It includes the list of services provided to the patient and the costs and codes for each treatment/procedure. Information about the patient and provider is also contained in the superbill. Here again, incorrect information may result in rejections by payors.

Charges entry is the process of assigning a monetary value for the services rendered by the healthcare provider to the patient. The charge entry is made according to the fee schedule, where fees are listed against the codes for various services. Claims reimbursement depends on the correct charges entry made by billers.

Our team will process, check/audit and submit your claims electronically within 12-24 hours of receipt of files. In case of any rejections, claims are checked, reworked and submitted without loss of time. Further, claims are pursued with the payors rigorously.

At Medical Billing Outsource, we have a very effective denial management strategy. Denials and partial payments are analyzed systematically by an expert team and suitable follow-up action is taken.

The process of posting the details of payments received from payors and patients against the patient account is called payment posting. Notably, the quantum of payments is a clear indicator of the financial status of a practice. Further, an analysis of the payment data can yield many insights to a discerning billing team.

Account Receivables in medical billing indicates the money owed by payors and patients to a provider. It is the goal of every practice to ensure that it gets paid for the services rendered. Our accounts receivable management services will ensure that your outstandings are always at the minimum and your cash flow increases.

A patient bill is a bill that shows the details of services rendered by the physician datewise with the amount to be paid for each service and demographic information. The statements which are clear and concise give the entire status of the account to the patient. It also shows unpaid balances and modes of payment.