Medical Billing Services New York

Medvantis offers following end-to-end Medical Billing Services in NY

Provider Enrollment and Credentialing:

We create, maintain, and update CAQH profile. We complete all applications and necessary paperwork on your behalf with the chosen payer networks. We follow all payer contracts through to the contract load date and provide copies of fully executed contracts and fee schedules to your practice or top medical billing company in USA.

Eligibility Verification/Pre-certification:
Before the patient’s visit to the provider, we do eligibility verification to check benefits available in patient’s policy for required specialty, requirement for any pre-authorization or referral, whether any copayment has to be collected, if the patient has met the deductible, the amount of co-insurance the patient shares, and whether the patient’s insurance covers the service sought from the provider.
CPT & ICD-10 Coding:
We access the superbills and detailed patient information from the physician’s office through a secure network. Based on the superbills and medical records our coders assign CPT and ICD codes along with modifiers if required. Before transmitting the claims to the insurance payer, our codes cross check patient and insurance demographic details from the patient registration form to ensure a ‘clean claim” is submitted.
Claims Transmission:
Claims are submitted electronically via the practice management system. However, we can process paper claims also. The rejection report received from a clearing house, if any, is analyzed and the necessary changes are done. These claims are then resubmitted.
Payment Posting:
Scanned EOBs and checks are sent to our team for payment posting. We can also post payment fetching ERAs from the clearing house or insurance web portals. All payments are entered into the system. As part of this task, we also charge appropriate patient accounts, print patient statements, file secondary insurance, and initiate the process for denied claims. The amounts from EOBs/checks and amounts posted in the system are reconciled on a daily basis.
Accounts Receivable Follow-Up / Denial Management:
Once the claims are submitted to the payer for processing, our expert follow-up team resolutely pursues all unpaid claims that have crossed the 30 days bucket in order to reduce the accounts receivable (AR) days of the claim. Sometimes, the claims are not received by insurance so to avoid timely filing limit we ensure the correct payer ID or mailing address and resubmit the claims. Sometimes, he claims are underpaid by the insurance payer, and in this case, we ensure that the underpaid claims are processed and paid correctly. We provide required medical documents to insurance payer if any requested and some denied claims are appealed by our AR team.

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LET US DO YOUR BILLING, We let you focus on your patient care

Benefits of working with us
Professional Expertise
Improved cash flow as payment is faster
Low management and labor costs
Increase efficiency
Reduce payer denials
Reduced Overhead Costs
Decrease your office paperwork
Save your valuable time
Convenient and Easy to Use
Contact Us

+1 915 265-7751

Reach Us

New York

Open Hours

Mon-Fri 09:00 - 19:00

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