Vicky Chandra

End to End Medical Billing and soft collections in flat rates. Services include Credentialing, Charge Entry, AR follow up, Denial Management and Reporting

(A) Medical Billing Services includes the following:-

• To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.

• Create appointments on scheduler while receiving patient calls

• Full patient demographics and charge entry

• Insurance claims submission (primary, secondary or tertiary)

• Accounts receivable analysis with corrective and preventive actions and decision making for Collections

• Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)

• Patient billing inquiries as per received information from provider office

• To check claim status from insurance, websites, auto response unit and via live calls.

• To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge

• ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding

• Daily, Monthly and annual AR Financial reports preparation

• Custom reports where required

• Patient billing as per instructions

• Credentialing guidelines

• Consulting/Training

• Super bill review

• Appeals

(b). Medical Coding

• To research the right DX and CPT code according to medical records

• Provide right DX pointers for the first time to avoid payment delays

• Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version

(c). Specialties

Anesthesiology

Cardiology

Chiropractic

Dermatology

Emergency Medicine

Endocrinology

Family Practice

Gastroenterology

General surgery

Geriatrics

Gynaecology and obstetrics

Internal Medicine

Pneumology

Orthopaedic

Otolaryngology

Pathology

Pediatrics

Physical Medicine and Rehabilitation

Physical Therapist

Psychiatry

Neurology

Radiology

Radiotherapy

Rheumatology

Urology