Electronic Billing:
eMedical
Billing
Solutions
uses an advanced electronic claims
processing and remittance advice system to process payments
and
make
adjustments. Claims submitted electronically are
reimbursed
quicker then paper
claims which normally take 30-45 days for
reimbursement.
We have ability to connect directly into your
IMS™
system to automatically pull the patients'
demographic information, financial information, history of
tests performed, and diagnoses. This contributes to
efficient daily claims filing. The chance of billing
errors in pricing and coding more than triples
when
paper claims are used.
New Practices:
Starting
any new business can be difficult, especially one that
involves complex coding and compliance issues. If your
medical
practice is new and you are just getting
started,
eMedical
Billing
Solutions
can help you concentrate on the actual
practice
of medicine and relieve you of overseeing insurance billing and payment issues
or
recruiting and training employees to do the job.
Keeping Your Records Up to Date:
Record-keeping requirements continue to grow in patient
care. Accurate and proper record keeping is essential
for correct
billing.
eMedical
Billing
Solutions
can
help
ensure that you meet these requirements, maintain your
records properly, keep your
records
current, and are able to access any information from your
records quickly.
Billing for
Specialists:
Incorrect
coding is the most common source of billing problems.
Medical insurance coding consists of ICD, which is
diagnostic
coding;
CPT, which is procedural terminology; and HCPC coding,
which refers to injections and supplies.
eMedical
Billing
Solutions
billing professionals have in depth knowledge
and
understanding of the specific CPT, ICD-9, HCPC and the new
ICD-10
medical codes and terminology necessary to prepare and
submit reimbursable health care claims specific for each
medical practice specialty. Our professionals also access
insurance carriers'
fees and
schedules.
eMedical
Billing
Solutions
billing specialist understand the
applicable regulatory
requirements for processing claims to government payers,
such as Medicare and Medicaid. These
transactions must be submitted
electronically and be in a format
compliant with HIPAA and MCR.
To achieve compliance with the standards of HIPAA and
MCR, many health care insurers require that claims be
electronically transmitted to them. However, some
medical practices still bill with a paper
claim.
eMedical
Billing
Solutions
will translate that paper claim into the
proper
electronic format and
electronically submit that claim.
What is PECOS:
PECOS (Provider Enrollment,
Chain, and Ownership System) supports the Medicare provider
and supplier enrollment process by capturing
provider/supplier information from the CMS-855 family of
forms. The system manages, tracks, and validates enrollment
data collected in both paper form and electronically via the
Internet.
Click here for more
information.
