What is Denial Management in Medical Billing ?

An effective denial management can improve your healthcare collections to an great expansion. Medical billing experts are saying that, each and every company of healthcare industry need to concentrate for effective denial management systems. Every healthcare organization is losing up to 10% of collections as uncollected amount. To collect this amount effective denial management will help to healthcare organization.

Most effective analytical and decision making skills are required for successful denial management system will help to all Whether you work for medical billing company or healthcare organization. Even for difficult denial also, we need look for an possibility to get accepted through insurance carriers with strong re-appeal. To follow this procedure you need to be expert in in this medical billing field, be watchful to details and also need to be very active for industry updates. 

 

Need to follow these steps to manage denials effectively:

1.Analyze the root-cause behind denials.

2.Decision Making

3.Corrective Measures

4.Document The Solution

BillingGurus are the practice management and medical billing experts. Since 2004 we have successfully been providing tailor made medical billing and healthcare IT solutions to physicians and healthcare groups across the country. Billing Gurus was established in 2004 and is one of the fastest growing medical billing companies in USA. We recognize that the Healthcare industry is experiencing significant constraints on its bottom line, technological solutions that create efficiency, improve business intelligence, and maximize the utility of existing investments are necessary for survival. Billing Gurus Medical Billing services address the needs of the Healthcare industry. 

Billing Gurus was established in 2004 at Cape Coral, Florida, USA with the goal to provide best Medical Billing Services with highest levels of quality, compliance, integrity and ethical values to our customers. Our concept is not only to save the money on billing services but also maximize the return on claims with out sacrificing service or patient support. We successfully convert medical services in to cash reimbursements by providing a full range medical billing services. We provide Medical Billing Services to all kinds of practices. Billing Gurus has the experience, the people, the technology and in-depth domain knowledge to address your specific needs in medical billing management. Our Skilled Medical Billing Professionals, Coders, Callers, Analysts, state-of-the-art infrastructure and process cover the entire spectrum of medical billing service from patient demographics, charge entry, claims submission, payment posting and follow up with insurance companies.

Benefits with Outsourcing a Professional Medical Billing Company

Most of the physicians are facing problems with medical billing activities, But only some of them to know the benefits about medical billing company outsourcing. Medical billing professionals only can solve health insurance claim problems, with this you and your organization staff can peacefully concentrate on patient care.

Confidently you need to know the importance of your healthcare practice. This is the profession which is completely dependent on time. If a some minutes late and a patient could have experienced difficulty conditions. In case if it is a few days late, it may possible to face disaster. It's very critical that you need to learn not just managing the time, But also needs to take care about you patients. So you need handle you finance without any problems. Medical billing is the aspect which you need to take very seriously.

BillingGurus are the practice management and medical billing experts. Since 2004 we have successfully been providing tailor made medical billing and healthcare IT solutions to physicians and healthcare groups across the country. Our services focus on maximizing your reimbursements and giving you more time to deliver the highest level of patient care. We provide our services nationwide and are experienced with all major specialties. Billing Gurus coding services are available as part of our customized medical billing solutions or as a stand-alone service. Our process will seamlessly integrate with your existing operations to ensure the highest level of data integrity.

Our coding service will:

• Optimize your revenue while reducing your compliance risks.
• Increase your revenues and shorten your collections times.
• Greatly reduce your administrative overhead costs.
• Our expert certified coders are specifically assigned to your specialty and dedicated to your account.

Specialties

Billing Gurus offers customized medical billing and coding services that are specialty-specific because every practice has their own unique challenges that require specialized training, knowledge and experience.

Here are some of our offered specialties:

• Allergy & Immunology
• Cardiology
• Dermatology
• Emergency Medicine
• Gastroenterology
• Geriatric

What is Medical Coding ? What are the benefits from Outsourcing a Medical Billing Company?

Medical coding is the process of transforming descriptions of medical diagnoses and procedures into universal code numbers. Coding is usually done in the doctor's office or clinic. Doctors provide the codes and outsource their billing to medical billing companies.

he concept of medical billing and coding company outsourcing is starting from the requirements of additional needs of medical coding specialists to achieve those other main works which are managed by the medical coding specialists from medical-care outsourcing company such as Healthcare organizations, hospitals, private clinics, nursing homes and other medical consultancies etc. Outsourcing billing service also has been widely implemented in the business process outsourcing industry today. Currently the trend of billing business is also growing opportunities for experienced and expert health care coders who are providing medical billing services to those who has required.

What are the Benefits of Outsource Medical Billing Companies? 

Efficiency is more important aspect in the medical care services. Through outsource system code, you can achieve better accuracy. Get maximum gain from experienced and certified medical billing specialists who are enabling to do with enough equipment and good infrastructure.Quality audit will make medicals coding services are more efficient and shows increment in the accuracy of medical coding. Through outsource medical coding company you can get access of latest technology, trained coders, quality controller and proper environment for coding. All this helps you for clearing the medical claims perfectly.

Practices will save money in using medical billing and coding services. Outsource medicals coding is to popular and well managed offshore medical coding company, BillingGurus are the practice management and medical billing experts. Since 2004 we have successfully been providing tailor made medical billing and healthcare IT solutions to physicians and healthcare groups across the country. Our services focus on maximizing your reimbursements and giving you more time to deliver the highest level of patient care. We provide our services nationwide and are experienced with all major specialties. With Billing Gurus you can expect to increase your revenue while reducing your medical billing expenses. Contact us to discuss a tailored solution for your practice.

Benefits with Outsourcing Medical Billing Services Company

USA healthcare industry is fully depending on insurance. Further, The cost which you spent on your healthcare is paid through medical insurance plans which covers most of your healthcare charges. Medical billing and coding is an crucial part of healthcare of healthcare services industry. Efficiency of a medical billing company directly impacts on physician billing, hospital services, medical insurance claims and risk assessment for the insurance industry. Also medical codes are used for research and educational purpose. So, Its quality can not be compromised.

Medical billing and coding companies need to assure that billing standards like ICD, HCPS, CPT and more. With the random increase in need of medical billing and coding, most of the physicians are considering to outsource a professional medical billing company. Find the following benefits with a professional medical billing and coding company.

• Cost Benefits
• Meeting Standards
• Using Specialists
• Quality Assurance
• Transparency
• Accuracy

1. Cost benefits: Cost is an very important factor of benefiting from outsourcing a medical billing company. Some analysts reported that if a physician out source a medical billing and coding company, he can cut his expenses up to 60%.

2. Meeting standards: There are number of standards that are to be followed as part of a medical billing company. Individual physicians to follow these kind of standards are very difficult, When they outsource a professional medical billing company. To meet these standards are medical billing companies will take care.

3. Using specialists: Finding the professional medical billing experts and specialists of the physician billing and coding jobs can be hectic task. Your outsourced billing company will take care about this work.

4. Quality assurance: Outsourced companies main work to provide high quality medical billing services. Better quality always provides the higher chances of compensation from medical insurance companies.  

5. Transparency: Trust and assurance is something that most medical coding companies work towards. Because by ensuring that the dealings are transparent, and that the relationship between the client and the company are maintained and improved. 

6. Accuracy:  The fact that specialists are involved in the entire medical billing process, automatically assures accuracy. When outsourcing, medical billing expertise can be fully utilized to ensure that accurate information is provided and recorded.

BillingGurus are the practice management and medical billing experts. Since 2004 we have successfully been providing tailor made medical billing and healthcare IT solutions to physicians and healthcare groups across the country.

Professional Medical Billing Process - BillingGurus

Is your healthcare organization looking for benefits of cost saving and with lowest time taking solution? Are you looking to huge increment your profits with high productivity and expecting huge reduction in collection time and high successful rate with medical insurance claims. If yes, then you are at right place. Number of medical billing companies provide wast range of medical billing services in healthcare field.

Electronic medical billing process which can billed and payments claim, submitted to the healthcare insurance medical billing companies will followup insurance companies. Medical billing services is one of the fastest growing and most effective sector of the healthcare industry.

Professional medical billing process will follow these steps:

• Claims Transmission
• Retrieval and Checking of Medical Claims
• Medical Coding
• Charge Creation
• Medical Claims Audit
• Medical Claims Transmission
• Claims Submission to Insurance Agencies
• Follow up and Settlement

Medical Billing claim followup is having these steps like

• Insurance Verification
• Patients Demographic Entry,
• CPT & ICD – 10,
• Charge Submission
• Claim Submission
• Payment Posting
• A/R Follow-up
• Denial Management

BillingGurus are the practice management and medical billing experts. Since 2004 we have successfully been providing tailor made medical billing and healthcare IT solutions to physicians and healthcare groups across the country. Our services focus on maximizing your reimbursements and giving you more time to deliver the highest level of patient care. We provide our services nationwide and are experienced with all major specialties.

Online Medical Billing Process – Billing Gurus

Medical billing services is a process in which there is submission and follows up of claims to medical insurance companies so as to get the payment of services provided through a health care provider. This process is also used for lots of insurance companies, either they private or public companies. 

There are various types of online medical billing process:

o Collecting the patient information like name, age, sex and address and more.

o Coordination of benefits

o Collection of insurance.

o The basic coding.

o Managing claim

o Filling HCFA and UB92 claim.

o Explanation of benefits.

Online hospital billing is the process of interacting with patients under HIPAA and sends the bill claimed services through electronically. Medical software will checks the patients eligibility for the required services with patients medical insurance companies. Medical billing professionals need to update with latest changes and developments through different technologies. Medical billing staff always needs some kind of training about new medical billing updates from professionals.

Billing Gurus are the practice management and medical billing experts. Since 2004 we have successfully been providing tailor made medical billing and healthcare IT solutions to physicians and healthcare groups across the country. Our services focus on maximizing your reimbursements and giving you more time to deliver the highest level of patient care. We provide our services nationwide and are experienced with all major specialties. 

Billing Gurus was established in 2004 at Cape Coral, Florida, USA with the goal to provide best Medical Billing Services with highest levels of quality, compliance, integrity and ethical values to our customers. Our concept is not only to save the money on billing services and also maximize the return on claims with out sacrificing service or patient support. We successfully convert medical services in to cash reimbursements by providing a full range medical billing services. We provide Medical Billing Services to all kinds of practices. Our Skilled Medical Billing Professionals, Coders, Callers, Analysts, state-of-the-art infrastructure and process cover the entire spectrum of medical billing service from patient demographics, charge entry, claims submission, payment posting and follow up with insurance companies.

Advantages of Outsourcing Hospital Billing Services

Most medical organizations have businesses that complete their coding, collection and invoicing jobs for their management. These type of activities we can call it as medical billing services or Hospital billing services. Mostly invoice hosting providers work directly with healthcare physician's office, a medical clinic or hospital to handle medical insurance claims effectively. And they also connect their patients through sending their account statements. Most of the times healthcare organizations outsource medical billing companies, because outsourcing comes with number of advantages. Peculiarly when we compared with hiring a full-time staff to complete the assigned task , An outsourced company can provide for much lower cost and most of the times more successfully.

  

If you Outsource a hospital billing services , you can see random increments in your savings. Healthcare organizations felt that hiring staff to handle medical billing activities will be more expensive. If you outsource the medical billing company, medical insurance tasks to be completed for a fraction of the cost of hiring staff to do them. And also you can save expenses like staff salaries, taxes and benefits and as well as training expenses.

Billing Gurus was established in 2004 at Cape Coral, Florida, USA with the goal to provide best Medical Billing Services with highest levels of quality, compliance, integrity and ethical values to our customers. Our concept is not only to save the money on billing services but also maximize the return on claims with out sacrificing service or patient support.

We successfully convert medical services in to cash reimbursements by providing a full range medical billing services. We provide Medical Billing Services to all kinds of practices. Billing Gurus has the experience, the people, the technology and in-depth domain knowledge to address your specific needs in medical billing management. Our Skilled Medical Billing Professionals, Coders, Callers, Analysts, state-of-the-art infrastructure and process cover the entire spectrum of medical billing service from patient demographics, charge entry, claims submission, payment posting and follow up with insurance companies .

• Key Features of Our Medical Billing Services
• Rapid turnaround times
• Clean and Error free Claims Submission
• Reduce your Billing expenses up to 50%
• Speed Up Reimbursement Periods
• Increase Cash Flow and higher revenue generation
• Accelerated Accounts Receivables
• Reduce Denials & Rejected Claims
• 100% HIPAA Compliance Office Environment