Detailed Billing Services.

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1: Medical Record Coding/Scrubbing of Claims

Purpose:

To ensure the highest level of accuracy in your medical claims and increase the likelihood of successful first-pass submissions.

Process:

Review for Accuracy: Our team of certified medical coders meticulously reviews your medical records to ensure that all claims are accurately coded according to the latest coding standards.

Addition of Modifiers: We add appropriate modifiers to claims to clarify specific circumstances and ensure accurate processing.

Compliance Check: We perform thorough compliance checks to ensure that all claims meet the necessary regulatory requirements.

2: Claims Submission Purpose:

Purpose:

To ensure that all claims are submitted promptly and processed efficiently by insurance payors.

Process:

Electronic Submission: We submit claims electronically to expedite the process and reduce the chances of errors.

Paper Submission: For payors that require paper claims, we handle the manual submission process to ensure timely processing.

Tracking and Monitoring: We track all submitted claims to confirm receipt and monitor their status, providing regular updates on their progress.

3: Timely Posting of Payments

Purpose:

To maintain accurate and up-to-date patient account statuses and ensure financial transparency.

Process:

Payment Posting: Our team promptly posts payments to patient accounts as soon as they are received from insurance companies or patients, ensuring that account balances are accurately reflected.

Account Reconciliation: We regularly reconcile accounts to verify that all payments are correctly applied, preventing discrepancies and ensuring accurate financial records.

4: Review and Re-Submission of Denials and Rejections

Purpose:

To resolve outstanding claims and maximize revenue by addressing and correcting denied or rejected claims.

Process:

Denial Management: We review all denied and rejected claims to identify the reasons for denials and develop a plan for correction.

Correction and Re-Submission: Our team corrects any errors or missing information and re submits the claims for processing, ensuring that they meet all necessary requirements.

Follow-Up: We follow up with insurance payors to ensure that corrected claims are processed promptly and resolved efficiently.

5: Monthly Patient Invoice Processing

Purpose:

To keep patients informed about their financial obligations and ensure timely payment of outstanding balances.

Process:

Invoice Generation: We generate detailed invoices for patients, listing all services provided, payments received, and any outstanding balances.

Invoice Distribution: invorces are sent to patients on a monthly basis, either electronically or via mail, depending on their preference.

Patient Support: We provide support to patients with any billing inquiries, ensuring they understand their invoices and payment options.

6. Monthly Financial Reports

Purpose:

To provide a clear and comprehensive overview of your practice’s financial health and identify areas for improvement

Process:

Report Generation: We compile detailed financial reports each month, covering all aspects of your revenue cycle, including charges, payments, adjustments, and outstanding balances.

Analysis: Our team analyzes the financial data to identify trends, strengths, and areas for Improvement

Recommendations: We provide actionable insights and recommendations to help you optimize your practice's financial performance.

Make An Appointment.

At Champ Ventures, we are dedicated to supporting Medical Services and answering any questions you may have. Whether you need assistance with our services, want to discuss potential partnerships, or have general inquiries, we’re here to help.

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+678-471-4540