About Our Workers Compensation Billing Company
Our medical billing and coding team has more than ten years of experience in resolving insurance billing issues. We offer strict adherence to regulations such as AAPC, AMA and HIPAA ensuring optimal compliance with state and federal health law. Additionally, the healthcare billing solutions we provide result in growth of revenue and tackle denied claims to stop leakages.
Workers Compensation Billing Services We Offer
Providing medical billing services second to none is our forte. We take care of medical practices suffering from bad debts and uncontrolled losses and change their financial output. We stay updated on changing regulations and laws to ensure our services match the industry’s standards by all means. Compensation billing services we offer to healthcare professionals are as follows:
Workers Compensation Billing
Workers Compensation Coding
Eligibility Verification
Compensation Claim Submission
Fee Schedule Analysis
Latest Billing Software
Full-Service RCM
Payer & Patient Relations
Our Workers Compensation Billing Services Process
Case Verification
The first thing our billing specialist does is verify all the important details of the patient. This process is tedious and time-consuming, but having seasoned experts like our team makes it easy and snappy.
Coding
After assessing and adding all the details, accurate code is added after physician’s remarks about diagnosis and treatment protocols. Typically ICD-10 code for back pain and injuries such as “S39.012A” is added along with others as required.
Reporting
Details of the claims and its active status is shared with providers that include comprehensive information. Our custom reporting encompasses AR summaries, claim tracking reports, revenue leakages, actions taken to reduced denials and entire revenue cycle periodic performance analysis.
Timely Follow-ups
We ensure insurance companies adhere to the timeline of payments. Our billers keep good and constant communication with payers so the claim is reimbursed in due time. A robust system of claim tracking allows forecasting to help providers in receiving payments and mitigating delays.
Compliance with State Laws
It is essential for medical practices to adhere to state and federal laws. Our presence as representatives of your billing department helps adherence and meeting regulations. We keep updating the billing process so your healthcare facility follows current state laws.
Benefits of Leveraging Our Workers’ Compensation Billing Services
- Streamlined Billing Processes
- Improved Accuracy in Billing
- Faster Payments From Payers
- Reduced Administrative Costs
- Cost and Time Savings
- Secure Data Management
- ISO Certified Billing Services Provider
- Best-in-class Software Expertise
- Team of Certified Professional Coders (CPC)
- Adherence to Updated HIPAA, ICD-10, CPT Guidelines
- Round-the-clock Customer Support Services
- Daily, Weekly, Monthly Analytics Reporting
- Monthly Contracts For Wider Flexibility
Whom Do We Serve
- Healthcare Practitioners
- Private Clinics and Care Centers
- Diagnostic Labs
- General and Specialty Hospitals
- Medical Insurance Companies
- Teleradiology Centers
- Pain Management Centers / Rehabilitation Centers
- Behavioral Health Treatment Centers
- Chronic Care Management Providers
- Urgent Care Centers
- ER Facilities / Freestanding Emergency Room Centers
- Occupational Health Clinics
Why Outsource Workers Compensation Revenue Cycle to Us?
We are a leading workers' compensation billing services provider in Philadelphia. Choosing our services enable healthcare practitioners to stabilize the cash flow because we offer:
Years of Experience
We have 12+ years of experience serving USA’s top providers. Our entire billing and coding team has diverse experience in working with all medical specialties. The experience we gained through our unmatched and uncompromised services results in higher revenue collections. Outsourcing our experts decreases claim denials and changes the turnaround time resulting in optimal efficiency.
Clean Claim Rate (CCR)
We have the industry’s highest clean claim rate of 99.9%. Choosing us provides you an assurance and peace of mind about our exceptional work. We guarantee positive results and sharp decrease in denials leaving you happy with each of your efforts paid in full. Producing claim claims, devoid of any human error, establishes provider/payer relations with mutual trust conducing faster processing.
Meeting Denial Benchmark
Hiring us allows clinicians to meet the claim denial target they set for their practice. Industry’s current standard is below 8% whereas we offer <2% helping you in earning on all claims submitted to a payer. Achieving this phenomenal benchmark is only possible with our highly skilled billing team which is supported by various quality assurance professionals.
Reducing Operational Costs
Running a solo practice is a big take let alone running a multi-disciplinary hospital. In-house team hiring, training and function requires providers to spend as much as 30-40% of their revenue. But hiring our coding and billing team reduces this burden by 90%. Revenue cycle team of our company is pre-trained, qualified and certified as well. Additionally, we have working experience with 50+ specialties therefore, getting results from insurance claims is just our daily job.
HIPAA Compliant
The injury and medical billing services we offer are HIPAA compliant, meeting all the standards set by state and federal laws. Patient data safety is pivotal in today’s tech driven society where data breach is becoming unavoidable. We help your practice in adhering to strict regulatory compliance set by HIPAA and United States Department of Health and Human Services (HHS). Additionally, we are ISO certified ensuring implementation of global standards followed by healthcare practitioners around the world.
Unparalleled Accuracy
Getting reimbursed by insurance companies is not as easy as it seems. Only way to get around claim denials, rejections and processing delays is accuracy. We offer the next level of accuracy in creating insurance claims that is still unmatched in the industry. Our staff knows all details and injury compensation rules that help them in adding required details and getting you reimbursed. Entrusting us with billing of your patients is the right decision that will help you collect all the reimbursements easily even with strictest healthcare regulations.