Streamlined Workflow
At MedBills LLC, our system is designed to capture all patient events from the initial intake notes. We encourage our clients to obtain updated insurance information at every visit and ensure that patient demographics are consistent and accurate. We are fully aware of the requirements for various carriers and government payers, including when referrals and authorizations are necessary to ensure payment. For MedBills LLC, these tasks are routine, not occasional.
Our distinctive workflow is specially designed to maximize cash flow and includes the following steps:
Pre-Visit Activities
- Keep track of the provider’s schedule.
- Perform prior eligibility verification.
- Determine plan coverage.
- Obtain prior authorizations and referrals.
- Calculate the patient’s responsibility in advance (co-pay, co-insurance, deductible).
- Set alerts for the front office and providers regarding billing issues.
Post-Visit Activities
- Claim scrubbing (validating ICD, CPT, modifiers, and LCD).
- Applying plan-specific rules.
- Attaching required documentation with claims.
- Ensuring the best turnaround time.
- Aggressive follow-ups on unpaid claims.
Additional Activities
- Comprehensive reporting.
- Efficient support (dedicated email group and phone support).
- Ad-hoc reporting upon request.
- EDI enrollments.
- Credentialing services.
- Regular QA audits.
At MedBills LLC, we are committed to leading physicians toward maximum reimbursement by streamlining workflows and ensuring every detail is handled with precision.