As we mentioned above, the job of medical billers is crucial to the successful operation of all healthcare providers, from orthopedic surgeons, oncologists, hospitals, and physicians. With medical billing and coding, most doctors offices would not be able to operate — at least to the high standards most of us in the United States enjoy. When you outsource medical billing, you enjoy a worry-free partnership where you can focus on your specialty — patient care — while we focus on ours.

Comprehensive Healthcare Revenue Management (CHRM) offers medical billing and coding services nationwide. We love our healthcare practitioners, and our mission is to make their lives easier through medical billing. We have a dedicated staff that goes above and beyond to deliver exceptional care in our medical revenue services every day. We work diligently to make sure your revenue cycle is maximized in terms of submittal times as well as handling any rejections or denials. If you are looking for the best medical billing company, contact us today!

WHAT EXACTLY DO MEDICAL BILLERS DO FOR YOUR PRACTICE?

Process all patient medical claims, including coding.

Medical billing and coding are often lumped together, albeit they are different parts of the medical revenue services. Medical billing is the process of submitting claims and ensuring they are paid. Medical coding refers to the codes each physician service is given, which makes it easier for the insurance company to know exactly what service was provided. This process makes medical billing much more efficient and timely. However, medical codes can change, sometimes yearly, which makes continuing education for medical coding paramount. CHRM ensures our medical billing and coding staff stay up to speed with changes.

A lot goes into medical billing, which any busy medical practice can attest to. From obtaining pre-authorizations for procedures and checking eligibility for treatments to reviewing patient bills for accuracy and calling to get any missing information, a medical billing company definitely doesn’t run out of things to do.

Most of our medical claims are now submitted via specialized billing software. This has made the medical revenue cycle even more efficient. However, the flip side is medical billers have to learn the software program (sometimes multiple programs) and operate it efficiently. Medical coding software has in many ways made our jobs as medical billers easier, as often the program will alert you if an item of information is missing or a code is incorrect. This is helpful, especially when learning a new program or process. But, like all machines and humans for that matter, they are not perfect. That’s why having an experienced and professional medical billing company like CHRM in your back pocket can be life-saving.

Correct medical billing errors, rejected claims, and denials.

Medical billing specialists need to be able to correct their errors satisfactorily, or your mistakes can end your client, which can add up quickly when you’re talking about hundreds, or even thousands of patients if your medical billing for a hospital or free-standing emergency service.

  1. A rejected medical claim is rejected because of medical billing errors. This can be literally dozens of things from transposed numbers, missing information, or incorrect information. It is the job of a medical billing specialist to fix these errors as quickly as possible so the claim can be resubmitted and processed.
  2. A denied medical claim is a claim that the insurance company has determined is unpayable, such as a medical procedure that wasn’t covered as part of the patient’s insurance coverage. A denied claim takes a bit more investigation on the medical billing specialist’s part, but it can be appealed and resubmitted as well.

 

 

Correcting medical billing errors that come back denied or rejected is often an area that separates medical billing companies. Top-rated medical billing companies such as CHRM work diligently to get you every penny you are owed. We investigate thoroughly and dive deep until the reason behind the claim or denial is uncovered. We work with our provider’s front office staff to verify insurance information or other pertinent personal information that could have contributed to the claim. We follow up on these medical claims and file our resubmissions quickly. Our goal is to maximize your medical cycle revenue. We’ll let nothing stop us to do so. Other medical billing companies may not go to such lengths; these you should avoid.

Answer questions.

As the best medical billing company, CHRM wants to make sure you know exactly what is happening with our medical billing and coding practices. We are transparent, giving you access to your data whenever you need it. We are honest, even offering a free medical billing assessment to see if we can benefit you or not. We have integrity in all of our professional dealings with our medical practitioners, and we settle for nothing less than excellence. Our medical billing experts can either come to your location or consult by phone to answer any questions you have regarding our services or patient’s information. It’s very beneficial when we understand your staff’s operating procedures, and your staff understands what medical billing does. We welcome calls from patient’s as well, which is often beneficial to your front office staff who often just forward the calls to us anyways.

Have a meticulous eye for details.

Our goal is to have no medical billing errors. While noble, this goal is unattainable. However, instead, we focus all of our attention on improving our processes. At CHRM, we learn from our mistakes, and always ask ourselves how to prevent them in the future. If we need to implement a new software feature, we will. If we need to add a step to our follow-up procedures, we modify. We’re always looking for ways to tighten your revenue cycle process as much as possible, including your recommendations on our medical billing process.

THE CHRM DIFFERENCE

At the end of the day, if you aren’t successful, CHRM isn’t successful. Our mission is to make sure you don’t worry about a thing with your medical billing and coding company, especially when it comes to financials. We provide monthly reports, which help us to see inefficiencies in our process and helps you to see crucial details about your practice.

At CHRM, our mission is to provide your practice or organization with transparency in your medical billing process and in your revenue cycle. Whether this is a one-time consulting project that allows you to make the most informed decision for your practice or a complete partnership where we work with you and your team to refine and stabilize your revenue cycle, we can help.

The difference in using CHRM as a medical billing partner is our talent. We work with leaders and physicians who are looking to combat ever changing reimbursement models in the healthcare industry with proven, logical processes for medical billing that meet your goals.

Medical billing is our passion. Each of our staff strives to be the best at their niche. We offer specialized departments here at Comprehensive Healthcare Revenue Management in order to better serve your medical billing needs: hospital, oncology, free-standing emergency center, physician practices, and orthopedic surgery. Medical billing shouldn’t be a headache. Partner with CHRM, the best medical billing company, in order to see the difference an outsource medical billing company can do for your practice.

Comprehensive Healthcare Revenue Management genuinely hopes our clients become long-term clients who understand how we can help them achieve maximum revenue through medical billing, which can then be reinvested back into patient care equipment. Medical billing is the driving force behind your practice. Partner with us to experience an acceleration of that force. Contact CHRM today!