Yes, we adhere to HIPPA compliance standards and maintain the security and confidentiality of all patient information.
All of your outgoing claims as well as your incoming paper and electronic payments and remittances are handled by our revenue cycle management solution. We actively manage claim appeals and denials on your behalf. Additionally, we relieve you of administrative tasks by continually improving our billing services. To help your business run more smoothly, we take your claims seriously.
There are several ways your office can give us your billing information, including:
- allowing access to your electronic health record and practise management system
- capture of paper bill photos and submission to our HIPAA-compliant gateway
- Securing email
Every time you want to! We frequently advise clients to email us a copy of the new invoicing for each day.
A Weekly Claims Exception report that you will receive will emphasise the details needed to finish the claim. As soon as you review them and give them back to us, we will file the claims.
The patients will receive statements for any unpaid balances after their insurance company has received the payment. Depending on your method, the frequency of providing patient statements may range from once a week to once a month.
First, it must be determined if the denial, in full or in part, is genuine. If the denial is invalid, we will ask the payer to process the claim again. For instance, we’ll fix the errors and rebill the claim if a diagnostic or modification is rejected. If the denial is based on medical necessity, we will deliver the medical records and, if required, file an appeal. Depending on the payer, we might file multiple appeals—including administrative appeals—and monitor the situation until the claim is paid or we receive a formal determination to the contrary.
We may send you up to two statements, and we’ll call you to check in later. After 120 days, we suggest turning the account over to collections and stopping the patient from getting any more care until the debt is paid. If you aren’t already working with a collection agency in your area, we can recommend one.
Contrary to popular belief, you actually have more control over your bills. You work closely with a dedicated billing account manager and support team on a regular basis. We also provide you weekly and monthly financial evaluations for your consideration. Additionally, you may see our efforts in real-time in the billing programme.
Depending on the size of your practise and your specialisation, Medz Healthcare can have your practise up and running in as little as 2 weeks or as long as 6 weeks.
Fees are calculated by Medz Healthcare as a % of your practice’s net receipts. The net collection rate depends on the company’s size, area of expertise, and services provided. Within the industry, we provide rates that are incredibly reasonable. The last sentence reads, “We profit only if you profit.
We are not your typical third-party revenue cycle provider. Think of our billers and coders as your claim handling, billing, and coding personnel that are outsourced. A dedicated billing account manager and the appropriate workers are assigned to you based on the type of specialisation, size, and scope of the task. Our dedicated revenue cycle team has online access to the practise billing software to handle prior authorizations, billing, posting, chart and claim audits, AR follow-up, rejection management, appeals, collections, and reporting. You get access to all of our revenue cycle team’s daily work.