FAQ

Medical billing is a major part of the overall healthcare network. The network encompasses everything from medical insurance to patient care best practices, hospital facilities, and private practices. Health billing systems are multifaceted and can be split into 3 of the basic systems types.

Closed

A closed billing type is a system without allowance for transfers. This means that this program focuses on one single procedure in terms of medical payment systems. The best example of a closed billing system in your practice is to use EMRs or electronic medical records. The digital variants of old-school paper maps are simply EMRs. While the paper is still used in modern practice today, it’s combined with other record forms. EMRs, as the system would mean, are closed. They will not require cooperation with other physicians and healthcare facilities such as labs or urgent care.

Open

An open system facilitates transfers between health care practitioners, services, facilities, and so on. EHRs, or electronic health records, are also an example of using an open medical billing system. Often, people in the medical field interchange EMR and EHR, but in fact, EHR-keeping is a highly collaborative record-keeping style that allows everyone involved to be privy to the patient’s healthcare.

Using an open framework means that medical billing programs such as AllMeds, ADVANCEDMD, GE Centricity, McKesson, and others have to be able to communicate easily and work together. Not all software allows an open system because they prefer to keep it closed and remain the only ones with access to the records of their patients. Some practitioners and healthcare facilities also claim that being extra cautious with open systems is necessary to protect patients’ privacy because of HIPPA.

Isolated

An isolated system is one that is segregated entirely from health care services, physicians, and procedures. Personal Health Records (PHR) are used in individual medical billing schemes. Patients retain all of their healthcare records so that they can plan and handle it themselves. Such reports are different and do not replace EMRs or EHRs; they primarily help the patient monitor their health details.

Because PHRs cannot legally replace official health records, it’s not usual to use isolated medical billing systems. Often, if the patient uses appropriate software, their PHR can be used to fill out official reports of the medical practices. Again, this includes open communication between the software to ensure everything is transmitted properly.

In terms of medical billing systems, each one has its pros and cons. Although records aren’t the only component of medical billing systems, they play a significant role in deciding the type of system you want in your practice. After deciding the program and record-keeping style you want, you can step forward by selecting a new software or retaining the one you currently have.

We have spent years perfecting our service and process so we can deliver world-class service at all times. Our services include:

Patient Enrolment

Input patients into the billing services management scheme. After searching for any missing information, we collect all the demographic information correctly for medical billing.

Insurance Verification

For any practice or medical billing company, the key to success is to ensure the services they have provided are paid for. Our medical review team of experts will confirm eligibility for the claim and keep you aware of your patient visits.

Authorizations

We understand the value of insurance authorizations for services and operations as a committed medical billing company. We get the approvals done in advance and make sure that you get paid.

Medical Coding

Our certified coders know all specialties in medical coding. We are well versed in hospital/patient identification, emergency room e-code assessment, DRG / ICD-10-CM, CPT / ICD, HEDIS, and audits.

Medical Billing

Being one of the largest US medical billing firms, our mission has always been to provide the industry with a reliable service. We manage Medicare and Medicaid requests, Workers Compensation, No-Fault / Personal Injury, and other big company insurance plans.

Payment Posting

Our efficient medical billing organization is well versed in identifying and publishing insurance and patient payments. Our team is trained in making payment posts and ensuring that every line item is checked, certified, and posted to avoid loss of revenue.

Account Receivables Management

It’s necessary to appoint a dedicated team to handle A/R. The staff should be experienced in many specialties including insurance. Their duties are to administer A/R and negotiate claims while answering insurance and consumer queries.

Reporting

When working with a medical billing business, monitoring is essential to transparency for every customer. We offer information that is easy to access, and that can be tailored to your needs. We assign RCM managers to your account and have regular meetings vital for a healthy relationship to continue.