Streamlining Your Medical Billing


December 29, 2011 1:55 am

Medical BillingPer capita medical spending in the U.S. is much higher than in other countries. It’s no wonder that the medical billing industry is growing by leaps and bounds. As a medical professional, your goal of providing timely and comprehensive patient care is intimately linked to your cash flow, which inevitably slows down if billing procedures are inefficient and irregular. Hiring billing and coding professionals to do the job in-house may not be feasible in these economically trying times. Your best option is to outsource medical billing to a competent service provider. A professional medical billing company is well-equipped to perform the task – both in terms of skilled and experienced billing specialists, coders, and other service personnel as well as advanced billing software.

A reliable outsourcing company would offer claims management and medical billing services for all types of medical specialties. The support you can expect:

  • Efficient claims preparation, claims editing and claims submission
  • Bills reflecting data accuracy with supporting diagnoses for each service
  • Claim submission if the format prescribed by the insurer to minimize refusal
  • Accuracy in demographic, policy and coding information to reduce denial

In short, a client-focused provider would provide a full suite of medical billing solutions starting from patient enrollment in the billing system and verification, to coding, billing, accounts reconciliation and AR collections. If the payer makes errors with regard to adjudication, medical billing companies also assist in the appeals process to resolve underpayments or unjustified denial of payment.



Accurate and timely medical billing services help healthcare practitioners to concentrate on the health and well-being of their patients without being tied down by medical bills and related tasks. Medical billing involves the filing and submission of medical claims to insurance companies so as to get the payments in a timely manner. Medical practitioners, hospitals, insurance companies, government and healthcare billing providers can benefit from accurate and timely medical billing services.

Today, there are several medical billing specialists offering value-added services. They provide better-quality and time-bound medical billing solutions that meet all kinds of medical billing requirements. Medical billing services include submitting medical claims; posting payments, balancing billing patients, and following up with insurance companies.

Medical billing services are available to almost all medical specialties including family practice, dentistry, cardiology, dermatology, pediatrics, radiology, nuclear medicine, general surgery, oral and maxillofacial surgery, pain management, occupational therapy, and more.

Benefits of Accurate and Timely Medical Billing Services

  • Eliminate billing headaches
  • Reduce staffing issues
  • Quick denial tracking
  • Quicker settlements and higher profitability
  • Faster revenue for your practice – as the insurance claims are processed on time and accurately, the service ensures you rapid cash flow.
  • Reduce cost – You can reduce the costs associated with additional employees and office infrastructure.
  • Save resources
  • Increase your patient base: You will get more time to give quality healthcare to your patients and build your practice.
  • 100% HIPAA compliant medical billing solution
  • Reduce downtime
  • Reduce the number of denied claims

If you are looking for timely reimbursement for your services, then the medical billing solution has to be error-free. For that, you have to hire an efficient medical billing company that provides accurate and timely medical billing services. Make your healthcare practice more professional with timely as well as accurate medical billing services.



Utilizing the reliable services of medical billing outsourcing companies in the US, healthcare practitioners can significantly reduce their administrative work and concentrate on their core activities and patient welfare. Utilizing these services helps healthcare facilities to submit medical bills and claims promptly and to subsequently enhance their cash flow.

Providing Efficient Medical Billing Solutions

In keeping with the medical billing requirements of different healthcare entities, several well-established outsourcing companies in the US offer outstanding medical billing services. Hospitals, nursing homes, individual practitioners, long-term healthcare centers, rehabilitation clinics, acute care clinics, imaging centers, multi-specialty groups, insurance agencies and many others benefit from these services.

Established medical billing outsourcing companies in the US maintain an experienced team of professionals including billing specialists, accountants, coders and quality analysts who use the latest techniques and billing software for the timely processing and submission of error-free medical bills and insurance claims. Some of the core services offered by US-based medical billing outsourcing companies include:

  • Patient demographic entry
  • Insurance enrolment
  • Insurance verification
  • Scheduling and rescheduling
  • Charge entry and payment posting
  • Insurance authorization
  • Billing and reconciling of accounts
  • Account receivable follow-ups
  • Collections

Outstanding Benefits

The dependable services of US-based medical billing companies help healthcare facilities to reduce the capital investment that would be needed for maintaining workers, infrastructure and software to do in-house medical billing. Additional benefits offered by these outsourcing companies include:

  • Superior quality assurance
  • Swift turnaround time
  • Enhanced data security and confidentiality
  • Saving time and effort
  • Reduced possibilities of claim denials and rejections
  • Maintenance of daily, weekly, monthly reports
  • 24/7 customer support

Select a Reliable Medical Billing Company

As there are many medical billing outsourcing companies in the US, healthcare facilities must choose the company that best serves their medical billing needs at a reasonable cost.



Healthcare practitioners often fail to recognize the hidden cost associated with in-house billing. This ignorance could cost them more. Very often they might not have sufficient resources and personnel to do the billing job. In such a situation, most would prefer to outsource their workload. Outsourcing medical billing services to a professional medical billing company dedicated to providing quality medical billing and coding solutions can ensure you more tangible benefits.

Here’s an overview of the benefits you stand to gain.

  • Eliminates billing errors such as under pricing, under coding and missed   charges
  • Allows you to focus on your medical practice instead of spending time on other functions required to run a successful healthcare unit
  • Reduces paperwork which in turn increases the productivity and job satisfaction.
  • Provides maximum reimbursement
  • Reduces the chances of denial from insurance companies
  • Provides follow-up on all rejected and denied claims
  • More consistent cash flow
  • Predicted and controlled billing costs
  • Reduced write-offs
  • Accounts receivable time is shortened
  • Detailed daily, weekly and monthly reports allow you to effectively manage your healthcare practice
  • No need to worry about turnover and personnel problems among the billing staff
  • Eliminates overhead expenses of purchasing, upgrading and maintaining computer hardware as well as software
  • Frees resources for other purposes
  • Reduces labor cost
  • Eliminates technical support costs
  • Provides access to state-of-the-art technology
  • Avoids the hassles of maintaining patient details
  • Offers complete control over the financial affairs of your medical practice
  • Keeps you up to date with continuously changing government regulations (HIPAA), financial conditions and technologies
  • 24 X 7 customer support
  • Affordable – charges based on the specialty and size of practice
  • 100% accuracy on medical billing

In short, seeking the help of an experienced and professional medical billing company assures the support you need.



Mounting difficulties in financial management create various administrative complexities for clinics, hospitals, physicians and healthcare facilities. Outsourcing your medical billing services to a professional medical billing company will help you to increase your reimbursements and thereby enhance business efficiency.

Tackle All Your Administrative and Financial Management Challenges

The process of medical billing entails filing, submission and following up of insurance claims. With the introduction of new technical systems such as the computer and the internet, the realm of medical billing has been undergoing rigorous changes in this modern era. For successful medical billing you need high technical support and expert medical billing professionals.

Outsourcing your medical billing tasks to a professional medical billing company can help you systematically tackle all your administrative and financial management challenges.

Reduce Your Overhead Expenses

Professional medical billing companies provide a solution-oriented medical billing service, reducing your overhead expenses. In order to provide accurate and reliable medical billing services, the companies maintain experienced medical billing specialists. A reliable medical billing firm offers services such as patient enrollment, insurance enrollment, scheduling, rescheduling, insurance verification, insurance authorization, coding process, ethical billing process, collections, AR collections, payment posting, reconciliation, following up of unpaid claims and many more.

Proper and Quality Medical Billing

For giving proper and quality medical billing solutions, professional medical billing companies utilize state-of-the-art billing systems, EMR and EPM systems. In order to ensure total convenience for clients, the companies make use of advanced medical billing software such as Medisoft, NextGen, IDX, Lytec, Misys, Medic and Inception. Professional medical billing services are distinguished by benefiting features such as:

  • 100% HIPAA compliance
  • Quality checking process
  • Web based medical billing software
  • Use of software as per the clients’ choice
  • Quick turnarounds
  • Free trial service
  • 24/7 customer and technical support
  • Anti-virus and fire wall software
  • Customized medical billing
  • Electronic billing
  • Online reports
  • Weekly and monthly reports

Deciding to outsource your medical billing services to a leading professional medical billing company is the right step to increase your reimbursements.



By outsourcing their medical billing jobs to reliable outsourcing companies, medical practices can submit their medical bills and insurance claims on time and with greater accuracy. This minimizes the odds of claim rejections and denials and significantly improves their profit. Besides, they can also save on the costs involved in maintaining an additional workforce and infrastructure for carrying out medical billing tasks within the practice.

Customized Solutions to Improve Your Profit

Outsourcing firms that provide efficient and timely medical billing services have a team of professionals including billing specialists, medical coders, accountants and others who experts in the latest coding techniques. Using advanced billing hardware and software, they process medical bills and insurance claims with outstanding precision and within a short time. The core medical billing services offered include:

  • Patient enrolment
  • Scheduling and rescheduling
  • Insurance verification
  • Medical coding
  • Charge entry and cash posting
  • Insurance authorization
  • Billing and reconciling of accounts
  • AR follow-up and collections
  • Report maintenance

Enables Focus on Core Healthcare Activities

Apart from improving profit and reducing back office expenses, outsourcing of medical billing jobs helps medical practices to focus on their core activities and provide better care to their patients. The major benefits of outsourcing medical billing include:

  • Better quality assurance
  • Greater data security and confidentiality
  • HIPAA compliance
  • Reduction of massive paper work within the practice
  • Fast turnaround time
  • Maintenance of daily, weekly, monthly reports
  • 24-hour technical support

Competent Providers for Efficient Services

Medical clinics should take care to outsource their medical billing jobs to a competent service provider who can deliver effective solutions at reasonable charges.



Healthcare facilities may face financial crisis due to under pricing, under coding, or missed charges. To solve this problem, outsource your medical billing claims to a medical billing company. With the help of electronic medical records (EMR) and electronic practice management (EPM) systems, medical billing experts provide HIPAA compliant medical billing solutions as per client’s requirements.

Outsourcing medical billing can deliver you a wide range of benefits – streamlines the medical billing process; maximizes profits, reduces administrative cost for hospitals, pharmacies, and other healthcare providers; increases your office efficiency and gives you more time to focus on your core medical activities.

Today, there are many experienced medical billing experts to handle your medical billing issues on time. They can work on either your medical billing software or use their own. Medical billing solutions include:

  • Medical coding
  • Medical paper and insurance electronic billing
  • Medical insurance collection
  • Charge entry
  • Cash posting and reconciliation
  • Management of old AR collections
  • Consultation
  • Recording patients’ notes
  • Providing daily, weekly and monthly reports
  • Insurance verification and authorization

Medical billing solutions can be customized to meet the requirements of any type of medical facility including individual physicians, physician groups, dental practices, multi specialty groups, clinics, home healthcare agencies, DME companies, pharmacy companies, long term care facilities, acute care facilities, hospitals and more.

Outsourcing medical billing services will provide you with the following benefits:

  • Efficient processing of claims
  • Eliminate all the hassles of medical billing and coding
  • Adherence to HIPAA guidelines
  • Higher privacy, excellent data security and confidentiality of patient data
  • Accuracy ensured by trained as well as skilled workforce
  • Save your overhead expenses such as salaries, benefits, payroll taxes, and more
  • Save resources
  • Reduce downtime
  • No need to worry about the follow-up for the submitted claims
  • Regular QA checking with readily available reports for the client
  • Increase your reimbursements and maximize your profit
  • Tailor-made medical billing solutions



Last week, President Obama signed into law the MMEA (Medicare and Medicaid Extenders Act of 2010). It looks like healthcare providers and medical billing companies could be affected by the changes contained in the MMEA provisions. The MMEA averts scheduled payment reductions for medical doctors who provide treatment to Medicare patients. Here is a brief look into the chief provisions of the MMEA.

MMEA Provisions and Their Effects

  • Section 101 stops a payment reduction for physicians, which was slated to take effect on January 1, 2011. The update to the physician fee schedule would be nil. Other modifications to the RVUs (relative value units) utilized to calculate the rates for the schedule should be budget neutral.
  • Section 102 is an extension of Section 508 along with particular exception hospital reclassifications effective Friday Oct 1, 2010 and up to the end of September 2011. It pertains to both outpatient and inpatient hospital payments. Whichever hospitals are affected by Section 102 would be provided an individual special wage index from Friday April 1, 2011. The hospital can expect an additional amount if there is any difference in the wage indices of these two time periods: October 1, 2010 to March 31, 2011, and April 1, 2011 to September 30, 2011.
  • The moratorium on independent laboratory medical billing for the TC (technical component) of physician pathology services provided to hospital patients has been extended through December 31, 2011. The rule in question is a CMS policy to pay just the hospital for the technical component of physician pathology services that hospital patients receive.
  • As per present law, payment fees under the MPFS have to be changed geographically to satisfy three factors that portray differences in the price of provider resources required to offer MPFS services: practice expense, malpractice expense, and physician work. The existing 1.0 floor on the “physician work” geographic practice cost index has been extended through Sat Dec 31, 2011 under Section 103.

We Will Have to Wait and Watch

The exact impact of the MMEA on healthcare, medical billing, and insurance claims processing can be clearly understood only in days to come.



Physicians, hospitals and other healthcare facilities experience various administrative difficulties in handling billing jobs associated with insurance companies. Professional medical billing companies can help these healthcare entities in handling their administrative jobs smoothly. The benefits of outsourcing medical billing services are many.

Comprehensive Solution for Medical Billing

Reliable medical billing companies help you in handling patient billing enquires, submitting insurance claims, posting payments and following up unpaid insurance claims. Medical billing companies provide outstanding services such as:

  • Physician billing and coding
  • Patient enrollment
  • Patient collections and AR collections
  • Charge entry
  • Scheduling and rescheduling
  • Reconciliation of accounts
  • Old accounts receivable collections
  • Insurance verification
  • Authorization

Maximize Your Reimbursements

Medical billing companies provide weekly and monthly reports along with productivity, procedure code analysis and projections. In order to provide efficient and speedy medical billing services for clients all over the world, professional medical billing companies maintain expert medical billing professionals along with advanced EMR and EPM systems. Outsourcing medical billing service to professional companies can help to maximize your reimbursements. The benefits of hiring a professional medical billing service include:

  • Reduces your managerial expenses
  • Improves business efficiency
  • Minimizes your back office expenses
  • Ethical medical billing service
  • Customized turnarounds
  • HIPAA compliance
  • Free trial
  • 24/7 technical support
  • Online reporting
  • Customized billing procedures
  • Electronic billing

Understanding the benefits of outsourcing medical billing services to a professional medical billing company, hospitals, clinics, physicians, free diagnostic facilities, multi-specialty hospitals, group practices and acute care facilities have started utilizing this facility.