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Empowering Healthcare Providers with Comprehensive Revenue Cycle Management

At Medical Insightz, we understand the challenges healthcare providers face in managing the complexities of revenue cycles. Our Provider Services are designed to streamline every aspect of the revenue cycle management (RCM) process, ensuring that healthcare facilities can focus more on patient care and less on administrative burdens.

Patient Registration and Scheduling

  • Efficient Scheduling Systems: Streamline appointment processes to reduce wait times and improve patient satisfaction.

  • Accurate Patient Registration: Capture critical demographic and insurance information accurately to set the stage for efficient billing and collections.

Charge Capture and Medical Coding

  • Precise Charge Capture: Implement robust mechanisms to capture all chargeable services accurately.

  • Compliant Medical Coding: Use the latest coding standards (ICD-10, CPT, HCPCS) to ensure claims are compliant and optimized for maximum reimbursement.

Payment Posting and Accounts Receivable Management

  • Efficient Payment Posting: Accurately post payments to patient accounts to maintain up-to-date billing records.

  • Proactive AR Management: Aggressively follow up on outstanding receivables to improve cash flow and reduce days in A/R.

Insurance Verification and Authorization

  • Thorough Insurance Checks: Ensure eligibility and benefits verification before services are rendered to prevent future claim denials.

  • Prior Authorization Services: Obtain necessary pre-authorizations, reducing delays and denials related to service coverage.

Claim Submission and Reconciliation

  • Electronic Claim Submission: Utilize advanced electronic systems for fast and accurate claim submission.

  • Claim Reconciliation: Quickly address any discrepancies to ensure claims are processed without delays.

Denial Management and Appeals

  • Comprehensive Denial Analysis: Identify and analyze denial patterns to prevent recurring issues.

  • Effective Appeal Processes: Manage and submit appeals to overturn unjustified denials and recover lost revenue.

Benefits

Discover the advantages of delegating billing services to Medical Insightz and streamline your operations for optimal efficiency.

  • Cost-effective and client specific pricing models
  •  Cost savings up to 40% in medical billing
  •  Significant reduction in your practice cost and dramatic improvement of your cash flow
  •  Maximized reimbursements
  •  Multi-specialty medical billing
  •  24×7 offshore medical billing services
  •  24 to 48 hours TAT for claim submission – faster submission of claims, faster reimbursements
  •  Optimizing Clean Claim submissions
  •  Reducing denials
  •  Decreasing the number of A/R accounts that are written off
  •  Provide AR reports that allow multi-level drill down
  •  Shift Focus to the Net Collection Rate
  •  100% HIPAA compliance
  •  Data mining through various reports to identify the root cause of problem and solving with suitable remedy
  •  Guaranteed satisfaction

1. Insight

2. Savings

3. Support

Product selection

4. Customized Solutions

5. Compliance

6. Quality Service

Partnering with Medical Insightz has revolutionized the way we handle our revenue cycle. Their meticulous attention to detail and proactive approach have significantly reduced our denials and improved our cash flow. It's comforting to know that the administrative side is in such capable hands, allowing us to focus more on our young patients.

Medical Insightz Client, CA

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