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Additional Services Offered
Appeals
Medical billing appeals play a crucial role in addressing discrepancies or denials in healthcare billing processes. When a claim is denied by an insurance company, healthcare providers have the option to submit an appeal to challenge the decision. The appeal process involves providing additional documentation, clarifications, or justifications for the billed services. It requires a thorough understanding of medical coding, billing regulations, and insurance policies. Successful appeals can lead to the reconsideration and approval of claims, ensuring that healthcare providers receive fair reimbursement for the services they have rendered. The appeals process is an essential component of revenue cycle management in healthcare, contributing to the financial stability of healthcare organizations and facilitating accurate and timely reimbursement for patient care.
The Assurgent team will do everything in their power to make sure a claim is paid accordingly. We won’t accept no for an answer.
Payment Posting
Insurance payment posting is a critical process for medical providers, involving the reconciliation of payments received from insurance companies with the billed amounts for healthcare services. This task ensures accuracy in financial records and aids in tracking outstanding balances. During payment posting, providers match Explanation of Benefits (EOB) documents received from insurers with corresponding claims. Discrepancies are identified and addressed, and adjustments are made accordingly. Timely and accurate payment posting is crucial for maintaining the financial health of medical practices, facilitating transparent accounting, and fostering effective communication with both insurers and patients. It streamlines revenue cycles and contributes to the overall efficiency of healthcare administration.
Assurgent posts all insurance and patient payments, depending on your needs. You will have full control of your bank accounts as you always have, and your money will continue to come directly to you. In most cases we are able to pull EOB’s directly from the insurance website. If you currently do not have access to insurance web portals, we can assist with setting this up for you as well. We ask that you forward any EOB’s that are sent directly to your office to us by mail or fax for proper posting.
Claims Submission
Sending medical billing claims is a crucial process in the healthcare system, facilitating the reimbursement of healthcare providers for services rendered. This intricate task involves compiling detailed information about patient treatments, procedures, and diagnoses, adhering to standardized coding systems such as CPT and ICD-10. Accuracy is paramount to prevent claim denials and delays in payment. Healthcare professionals utilize specialized software to generate and submit claims electronically, streamlining the process and reducing the likelihood of errors. Timely and efficient submission not only ensures financial viability for healthcare institutions but also contributes to the overall functioning of the healthcare ecosystem by maintaining a smooth flow of resources and sustaining quality patient care.
Our claims specialists know how important it is and take pride in submitting a clean claim the very first time. It is a proven fact that when claims are submitted correctly the first time, the number of denials are reduced significantly, so we do all that we can to prevent errors. We will submit clean claims electronically through the clearinghouse you are currently working with, and we will also submit secondary claims for patients with secondary insurances.
Insurance Verification
Insurance verification for medical providers is a crucial step in the healthcare revenue cycle. This process involves confirming a patient’s insurance coverage and understanding the terms of their policy before providing medical services. It helps in preventing claim denials and ensures accurate billing. Medical providers typically gather information such as policy details, coverage limits, copayments, and deductibles. This verification process not only facilitates smoother financial transactions between healthcare providers and insurance companies but also helps patients understand their financial responsibility. Timely and accurate insurance verification is essential for maintaining a healthy revenue stream, reducing administrative errors, and enhancing overall operational efficiency in the healthcare industry.
Our dedicated team will stay on top of verifying coverage for your clients to ensure services will be reimbursed by their plans.
Coding
Medical coding is a crucial aspect of the healthcare industry, serving as the language that translates complex medical services and procedures into universally understood codes. These codes, typically alphanumeric, are derived from a patient’s medical records and are used for billing, insurance claims, and statistical analysis. Accurate coding ensures proper reimbursement for healthcare providers and facilitates communication among different healthcare stakeholders. Professional coders, well-versed in coding systems such as ICD-10 and CPT, play a pivotal role in maintaining the integrity of healthcare data, enabling efficient financial transactions, and supporting medical research and public health initiatives.
Assurgent has an excellent team of coders ready to assist you!
Reporting
Insurance medical billing reporting for providers is a crucial aspect of healthcare financial management. This process involves submitting detailed claims to insurance companies for services rendered to patients. Accurate and timely reporting ensures that healthcare providers receive reimbursement for their services. The reporting includes coding procedures, diagnoses, and other relevant information, following standardized code sets such as CPT and ICD-10. Providers need to stay informed about changes in coding regulations and insurance policies to optimize their billing practices. Additionally, thorough reporting aids in identifying trends, tracking revenue, and enhancing overall financial performance for healthcare institutions. Efficient communication between providers and insurers is vital to resolve any discrepancies and facilitate a smooth billing process.
Assurgent will customize reports for your practice to measure your progress in the claims cycle. We will monitor your AR, your denials, and reimbursements to make sure your practice is progressing. These reports will also identify any problem areas of the billing process that may need improvement.