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Revenue Cycle Solutions for Hospitals and Healthcare Systems
Streamline your medical billing processes and maximize revenue with our comprehensive solutions tailored specifically for hospitals and healthcare systems.
At Medical Billing Wholesalers, we understand the unique challenges you face when it comes to managing the financial aspects of your organization. That’s why we offer a range of innovative services designed to simplify your billing operations, increase efficiency, and optimize your revenue cycle.
Patient Access Services
Our Patient Access Services focus on optimizing the patient registration and scheduling processes, ensuring accurate and timely information capture. We provide:
Patient Scheduling: We optimize patient scheduling through appointment coordination, reminders, rescheduling assistance, and waitlist management for timely and convenient care.
Eligibility Verification: We verify patients’ insurance coverage, benefits, and eligibility to ensure accurate billing and reduce claim denials.
Pre-Authorization Assistance: Our team assists with obtaining pre-authorization for procedures and services, reducing delays, and improving reimbursement.
Financial Counseling: We offer comprehensive financial counseling to patients, helping them understand their financial responsibilities and explore available options for payment.
HIM-Medical Coding & CDI (Clinical Documentation Improvement)
Accurate and compliant coding is essential for optimal reimbursement. Our HIM-Medical Coding & CDI services focus on ensuring proper coding and clinical documentation. We provide:
Medical Coding: Our certified coders assign appropriate codes based on documentation, ensuring accurate and compliant billing.
Medical Coding Audit Services: We specialize in conducting comprehensive audits and meticulous reviews to ensure coding accuracy and compliance, utilizing the expertise of our skilled coding professionals.
Clinical Documentation Improvement: We collaborate with healthcare providers to improve documentation quality, ensuring accurate code assignment and reducing claim denials.
Revenue Capture Services
Our Revenue Capture Services focus on optimizing revenue capture and claims submission processes. We provide:
Utilization Management: We ensure the appropriate utilization of resources, helping hospitals optimize reimbursement while adhering to payer guidelines.
Charge Capture: We accurately capture and document all billable services, reducing revenue leakage and increasing reimbursement.
Claims Submission: We handle the complete claims submission process, including claim verification, scrubbing, and submission, ensuring timely reimbursement.
Revenue Collection Services
Our Revenue Collection Services focus on the efficient management of accounts receivable and collection processes. We provide:
Insurance Accounts Receivable Management: We manage insurance claims, monitor aging accounts, and proactively follow up on unpaid or underpaid claims.
Credit Balance Management: We identify and resolve credit balances, ensuring accurate accounting and compliance.
Under Payment Recovery: We diligently identify and pursue underpayments from insurance companies, ensuring you receive the full reimbursement you deserve for the services provided.
Patient Balance Management: We offer comprehensive patient billing and collection services, including statement generation, payment posting, and collection follow-ups.
Denial Management: We offer a variety of services including detailed claim analysis, strategic appeal management, and persistent follow-ups to ensure maximum reimbursement for healthcare providers.
Bad Debt and Recovery Solutions. We employ effective strategies to manage bad debt, including engaging with collection agencies and implementing recovery solutions.
Analytics
Our analytics services provide valuable insights into your financial performance and help you make data-driven decisions. We offer:
Customized Reporting: We provide detailed reports and analytics tailored to your specific needs, helping you track key performance indicators and identify opportunities for improvement.
Financial Performance Analysis: We analyze your revenue cycle and financial data to identify trends, areas for optimization, and revenue enhancement opportunities.
Why Choose Medical Billing Wholesalers
Expertise and Experience: With over a decade of experience in medical billing and a gloabl team of skilled professionals, we have the expertise to handle the unique complexities of billing for hospitals and healthcare systems.
Tailored Solutions: Our services are customized to meet your specific needs, ensuring seamless integration with your existing systems and workflows.
Compliance and Security: We prioritize data security and compliance with HIPAA regulations. Our robust systems and protocols ensure the confidentiality and integrity of your sensitive patient information.
Cost-Effectiveness: Our services are designed to optimize your revenue cycle and reduce administrative overheads. By outsourcing your medical billing to us, you can focus on patient care while we handle the financial aspects efficiently.
Dedicated Client Services: We believe in building long-term partnerships with our clients. Our dedicated support team is available to address your queries, provide assistance, and offer ongoing guidance to help you achieve your financial goals.
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Transform Your Hospital's Financial Health with Medical Billing Wholesalers
We specializing in streamlined the revenue cycle of healthcare systems, allowing you to focus on patient care excellence.
Contact us for a custom consultation and elevate your financial performance effortlessly.