A medical billing company should increase your reimbursements. In fact, a medical billing service should be more efficient and effective at medical billing then your own office. A medical billing company should let you and your personnel focus on practicing medicine. Whether you have private or faculty practice or you are a primary care physician or a specialty practice; like surgery, cardiology, dermatology, or orthopedics, etc., our service can make your practice more profitable.
According to industry experts a claims adjustment rate of between 20% and 35% is considered good and acceptable. Our Billing executives/personnel have an average of eight years in medical billing. Their knowledge, ability, and dedicated follow-up is why our adjustment rate is consistently lower, as low as 10% with Medicare. We achieve A/R rates for our practices that are higher than the industry average. A medical billing company should help reduce your expenses; our clients reduce their back office expenses
We offer a complete business solution to your medical billing and practice management needs, and. Finally, our fees are below the national average; Just ask us for a quote. Our goal is simply to provide the highest return on your claims, without sacrificing service or patient support, at a competitive price.
Medical Billing Services
Our goal is to provide the highest return on your claims without sacrificing service or patient support. We successfully convert medical services into cash reimbursements by providing a full range of medical billing services including:
- Generating and accelerating individual claims which are professionally prepared, accurately coded and electronically submitted.
- Creation and mailing of patient statements
- Prompt posting of payments
- Collection and analysis of patient information
- Persistent follow-up on all claims
- Courteous but effective collection of outstanding receivables
- Patient billing questions answered efficiently
- Customized monthly statistical reports and spread sheets tracking business activity and productivity
- Analysis and recommendations for fee structuring
Key Benefits:
No Recorded Voice prompts
All calls are answered personally. Does anyone want to go through the labyrinth of touchtone choices, only to be left on hold, disconnected, or worse, left with an unresolved billing inquiry. We never use electronic voice prompts during regular business hours. When a patient calls they speak directly with an account representative. Questions are answered courteously, and all efforts are made to expedite a settlement. Patient privacy and support are never compromised.
Electronic Claims Submissions: Cloud 10 daily submits your claims electronically to Medicare, Medicaid, BCBS and all commercial carriers. Once we receive your data, our account representative checks for errors, makes corrections if necessary, and submits the claims.
Claims Follow-up
We aggressively follow-up on all claims. In addition to your individual account executive that deals with carriers and patients, Cloud 10 has follow-up specialists that assist in calling patients to deal with outstanding balances. We know that we dont get paid unless you get paid.
HIPAA Compliant
We comply with HIPAA privacy and security regulations.
Billing services:
We offer the entire spectrum of Professional Revenue Cycle Management Solutions covering the following areas:
- Provider credentialing services by credentialing experts
- Medical Transcription Services along with the option to upload these Records into an EMR application if available.
- Medical Coding by AAPC(American Association of Professional Coding ) certified coding experts
- Patient Demographics-Demo Entry & Quality Audit Eligibility Verification & Authorization services
- Charge entry
- Electronic / Paper Claims Filing
- Fixing of EDI Claim Edits and re-filing claims
- Cash and Rejection Posting
- Accounts Receivable & Self Pay patient Follow-up
- Denial Management & Level of Appeals
- Daily, Weekly & Monthly Client Reports
- Quality Audit by Six Sigma Certified Analysts
- Regular updates from CMS & other insurances and cascading the info to clients
- Daily expected co-pay collection report
- Global Period follow up reports & entry the details into EMR
- Ability to have patient reminders done on a daily basis:
- Patient Old dues
- Patient calling to remind them about the appointments
Billing Software expertise:
- Misys PM
- Misys Tiger
- Misys Query
- Medtopia
- Medisoft
- Medtron
- Raintree
- McKesson
- Allscripts
- Cerner
- Epic
- GECentricities
- Eclipsys
- Pacware
- Medical Manager
- Ultra
- Medisense
- Denticon
- Ntierprise
- Dentrix
- ClearPractice
- e-Clinical Works