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Our Services

Medical Billing and Coding Services

Optimize Your Revenue with Our Expert Medical Billing & Coding Services! Medical billing and coding are fundamental in the administration of healthcare finance. At Practice Claim, we specifically deal with medical billing and coding services to assist healthcare facilities with high revenues, low mistakes, and patients. Let our team of certified billing experts handle all aspects of billing and decrease stress for better financial results.

Billing & Coding Services We Offer

You will find the best solutions at Practice Claim, that fulfill the needs of unique healthcare facilities, starting from the clinic to a hospital. Our team specializes in the following areas:

Medical Billing Services

Insurance Claims Submission

We deal with insurance claims, their codes, and regulations to ensure the compensation for the service provided is enhanced.

Patient Billing and Invoicing

Our team prepares clearly calculated invoices for the patients so they would not spend much time disputing charges with the team.

Denial Management and Appeals

We deal with the cases of claims rejection, correct errors and handle complaints with the aim of regaining lost revenues.

Accounts Receivable Management

We are responsible for overseeing your accounts receivable, identifying which accounts are outstanding, and following up with the clients regarding their debts.

Revenue Cycle Management

We actively manage the flow of cash and finances from the time a patient registers until the final payment is received, including all financial transactions throughout that process.

Medical Coding Services

ICD-10 Coding

The ICD-10 codes we utilize are the most up-to-date available, ensuring that all necessary procedures and diagnoses for reimbursement are accurately documented.

CPT and HCPCS Coding

Our team includes coders proficient in current procedural terminology (CPT) and healthcare common procedure coding system (HCPCS), ensuring the correct coding for medical services provided.

Specialty Coding

This is complemented by specialty services such as cardiology, oncology, pediatrics, and more, ensuring that your specialty practice is prominently represented.

Chart Auditing and Compliance

We conduct chart audits to identify incorrect coding, recover additional revenue to be recorded in our system, or ensure compliance with healthcare regulations. 

Credentialing services

It is also referred to as professional and administrative staff services, providing individuals with the essential documentation to become members of various educational institutions or health organizations, as offered by this service. 

Our Medical Billing & Coding Procedure

Our streamlined process ensures that every aspect of medical billing and coding is handled with precision and efficiency:

Step 1: Information Collection of Patient

We collect detailed patient records to ensure that no furthest data demographics, insurance details, or medical history data are influencing billing discrepancies.

Step 2: Medical Coding

Our qualified coders will convene once again to conduct a medical record review and clinical documentation to correct the code from ICD-10, CPT, and HCPCS. It also ensures that the claims that are filed are in the right category, to get the maximum number of claims back.

Step 3: Preparing & Submitting Claim

When coding is completed, our staff formulate detailed claim descriptions, review the documentation for compliance with any payer guidelines, and submit the claims to the insurer.

Step 4: Follow-Up on Insurance Claims

Basically, all submitted claims are monitored and communicated often with insurance providers to avoid any issues.

Step 5: Denial Management and Re-submission

When a claim has been denied, we undertake actions like investigating why the earlier claim was denied, correcting the mistakes that led to the denial, and re-submitting the claim.

Step 6: Collection Management

Accounts receivable consist of all the outstanding claims which are in general recorded, along with the collection of due amounts and maintenance of records in every organization.

Step 7: Strategic Evaluations

It offers you extensive reports presenting you with all the information you need on your finances, claims, and reimbursement rates for appropriate decision-making.

Benefits of Medical Billing & Coding

Choosing a Practice Claim for your medical billing and coding needs offers a multitude of advantages.

1. Maximized Revenue
2. Reduced Administrative Costs
3. Data Security
4. Faster Reimbursements
5. More Focus on Patient Care
6. Transparency & real-time reports

Why Choose Practice Claim for Medical Billing & Coding

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Experienced Professionals

We are a team of certified medical billers and coders with years of experience in various specialties. We face many challenges and remain compliant with current requirements.

Cutting-Edge Technology

We use advanced billing software and coding tools to increase effectiveness and avoid difficulties. Thus, we have the best strategies to enhance our billing services.

Tailored Solutions

We are aware that each healthcare practice is different in some aspects. Therefore, we offer services tailored to your needs, ensuring they align with your financial goals.

Reliable Support

Contact our support team, which works round the clock to guarantee your needs are met whenever you feel the need to ask us anything or to report any kind of problem.

Frequently Asked Questions

Practice Claim is well-known for being individual on every client, compliant with pricing and sand reporting, and focused on getting you the most money. We strive to achieve high results in the financial field and at the same time, make everything reasonable and legal.

In our company, our certified coders and billing specialists effectively understand the existing laws in healthcare and HIPAA, ICD-10 as well as CPT. To this effect, we pay attention to our clients and regulatory awareness and conduct compliance checkups regularly.

Of course, Practice Claim provides billing and coding services that are relevant to almost all specialties, and cardiology, dermatology, pediatrics, and others. The staff of our team has all the necessary experience to complete different coding obligations.

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