Billing Services

Healthcare BPO Billing Services

RCM billing services is patient registration. This involves collecting and verifying patient demographic information, insurance details, and other relevant data necessary for billing purposes. Accurate patient registration is crucial to ensure that claims are submitted correctly and that patients are billed appropriately.
Confirming the patient's insurance coverage, benefits, and eligibility before providing any healthcare services. Insurance verification helps prevent claim denials and ensures that patients are aware of their financial responsibilities.

RCM billing services involve claims submission. The coded information is used to generate claims that are then submitted to insurance companies or government payers for reimbursement. Claims must adhere to specific formatting requirements and include all necessary supporting documentation.

  • Demographics entered with accuracy is crucial for proper and timely reimbursement.
  • Insurance details and proper insurance selection while submission of claim, understanding primary , secondary, workers comp or no- fault insurance.
  • Documents requirement for workers comp or no- fault insurance claims submission.
  • Electronic submission to all accepting carriers; paper billing when stipulated by carrier along with supporting documentation submission.
  • Details like diagnosis, treatment, and amount claimed are identified for each claim.
  • Online entry of all patient details directly into client software.
  • On completion, the medical documents are accessed for coding.