Specialty Centric Medical Billing Service Provider in USA

Q: What is the medical billing cycle?

The medical billing period begins with patient scheduling, eligibility checks, coding, and charge entry and continues with filing of claim, payment posting, AR analysis, and denial management. We, as The medical billing services provider takes up all hassles and eases the task for the healthcare provider.

Q: What is AR medical billing?

AR (Accounts Receivable) is a concept that refers to keeping track of claims, chasing sales, and keeping track of cash flow. AR is important for health practitioners to follow up on reports made and for insurance agencies to maximize income recovery. Outsourcing medical billing services in the USA means, the AR task is also handled by the medical billing team.

medical-billing-services-provider-img

The biggest challenge today in the Revenue Cycle Management (RCM) domain are the outstanding revenues and the unstructured revenue cycles. These two factors put together, affect the overall revenue cycle massively and puts the healthcare providers in a tight spot. To run your practice with high yield and quicker claim resolution, you must have a domain expertise who would know what a practice’s challenge is and how to overcome those. When you are in tune with the qualities of the RCM system you want, you are sure to find the right one and work alongside it.

Why to Outsource with TALL RCM INCORPORATION

All practice owners who wish to outsource their whole RCM framework need a partner who not only help them expand with more savings and efficiencies but also holds them ahead of the newer threats that we face in our industry today. You will find such a partner with TALL RCM INCORPORATION. The Outsourcing Medical Billing Service offered by us offers a happy clientele of over 450 customers. For your healthcare Revenue Cycle Management Services, you can rely on TALL RCM INCORPORATION and its massive industry expertise, budget-friendly pricing, and skilled team of professionals.

TALL RCM INCORPORATION: The Best RCM Company in the USA

If you are looking for the best medical billing companies in New Jersey, then Tall Rcm Incorporation is the right choice for you. We are transparent in our work and we adhere to a standardized process flow.

Medical Billing Service in the USA – TALL RCM INCORPORATION Process at glance:

We use FTP upload or PC anywhere Access we search/scan the appropriate documents or superbills that would be received from provider office everyday..
All patient demographics, insurance information, superbills, and charges are entered and submitted electronically through the Billing Software. The claims posting/submission process takes about 36-48 hours..
The daily paper source such as EOB (Explanation of Benefits) will be updated into billing applications, and payment details will be updated to individual claims.
AR aging files will be meticulously compiled and returned to the provider for evaluation. The Account Receivable (AR) team would review, and respond to any unpaid, denied, or rejected claims. Based on the requirement Team would call the Insurance companies and bring the issues to a resolution.
For lawsuits based on the AR survey, insurance calls will be made. We will submit-secondary and tertiary claims with attachments, patient accounts, and other paperwork to the Insurance Companies via our Office / Client.
Work progress reports will be submitted on a regular, weekly, and monthly basis.

3-Steps of A/R Follow Up

Outsourcing medical billing services to TALL RCM INCORPORATION is a smart choice. Our team of trained A/R professionals works diligently to reduce A/R days, while our Certified Professional Billers are committed to maximizing collections and improving your cash flow. We prioritize transparency and efficiency throughout the entire process to ensure a seamless experience for our clients.

STEP 1: EVALUATION

In this phase, we conduct a comprehensive review and analysis of all cases listed in the A/R report. Our team carefully examines insurance plans and identifies the root causes behind claim rejections and denials.

STEP 2: ANALYSIS AND PRIORITISATION

Once the issues have been identified, our A/R specialists work to resolve them and implement preventive measures to avoid recurrence. Claims are prioritized based on their age and the likelihood of payment from insurance companies.

STEP 3: COLLECTION OPTIMISING THE COLLECTIONS

Our structured approach to claim resolution focuses on improving key performance indicators such as First Pass Rate (FPR) and Clean Claim Rate (CCR). This leads to increased revenue and a reduction in outstanding accounts receivable.

Why Outsourcing medical billing services to TALL RCM INCORPORATION would be beneficial?

Patient Collection (Keeping Your Front Office Updated Through Diligent Eligibility, Benefits and Preauthorization)
Specialty Centric Billing Rules (Maximizing Revenue)
Skilled, Trained, and Certified Resources (Increasing First Pass Ratio)
Intuitive Business Intelligence Tools (Better cashflow)
Dedicated Billing Team and Supervisors (Zero Hold Time)
Quality Measures at Each Stage of Billing (Maximizing Revenue)
Real-Time Performance Data Dashboard (Complete Visibility in Our Performance)
100% Confidential and HIPAA Compliant
You’ll save 60% of the existing running expenses.
Services are available 24/7, with a short turnaround time (Turn Around Time).

FAQs

Q. What is the medical billing cycle?

The medical billing cycle is a key component of the Revenue Cycle Management (RCM) process in healthcare. It refers to the entire sequence of steps involved in the submission, processing, and collection of payments for medical services rendered to patients. The goal of medical billing cycle is to ensure that healthcare providers are reimbursed efficiently and accurately for the services they provide.

Q. What is AR medical billing?

Accounts Receivable (A/R) in medical billing refers to the outstanding payments owed to healthcare providers for services rendered to patients. It represents the amount of money that has been billed but not yet collected from insurance companies, government programs (such as Medicare or Medicaid), or patients. In essence, A/R is the unpaid claims that are due to the provider.

In the context of medical billing, A/R is managed as part of the Revenue Cycle Management (RCM) process. Efficient management of A/R is critical to maintaining a healthy cash flow for healthcare organizations.

Q. What are the steps in the medical billing process?

Patient Registration
Eligibility check
Patient encounter
Medical claims preparation
Compliance with the Medical coding rules
Claim scrubbing
Submission of claims
Payer Adjudication
Patient Statements
Follow-ups
Payment posting
Reporting

Q. How do I fix medical billing errors?

There are pre-set billing rules in the Billing Software which captures the missing/invalid information in a claim – The Billing company would provide the required information to fix those errors and would provide a heads-up to Provider to prevent such errors or include valid information in future.

Get a quote

Healthcare