Medical Billing
All your effective operations at One Place
Seventh Genius is reliable and will increase your revenue since we put a dedicated billing staff for your effective operations. We offer the services with affordable and customized business models. Our services includes but not limited to following;
Patient Demographic Entry
As one erroneous data entry can lead to the rejection of all the claims of a patient so our data entry professionals assure the accuracy of each entry of the patient information resulting in the successful processing of claim.
Insurance Eligibility Verification
Eligibility for each patient for every date of service is verified from website, IVR or live call so that claim gets processed in right way. This also includes the verification of coordination of Benefits as well.
CPT and ICD-9 Coding
We are proficient in CPT & ICD usage which ensure the reimbursable completion of Charge as per LCD/NCD guideline. We continuously update ourselves regarding any coding changes (ICD & CPT changes/ specially HCPC codes updates) to avoid your revenue cycle delay.
Charge Entry
Our Medical Billing professionals will create appropriate medical claims/bills according to billing rules pertaining to specific carriers and locations. All medical claims are created within agreed turnaround times.
Claims Review Before Submission
The medical claims are checked for valid and complete information, correct procedure and diagnosis codes and actuality of all other relevant information about the patient since incomplete/incorrect information is one the single most common cause for denial of medical claims.
Submission of Claims
We are proficient in CPT & ICD usage which ensure the reimbursable completion of Charge as per LCD/NCD guideline. We continuously update ourselves regarding any coding changes (ICD & CPT changes/ specially HCPC codes updates) to avoid your revenue cycle delay.
Payment Posting
Payments are posted by Electronic Remittance Advise/Explanation of Payments with high proficiency & denied claims forwarded to Follow-up Team for further processing. Payments are also reconciled on daily basis to have the actual picture of payments.
Accounts Receivables Follow-up
This involves the aggressive follow up by our professional Medical Billing team in taking the correct action against denial/pending claims for reimbursement. This includes the argumentation/negotiation with insurance representative to get the claims paid in full. Appeals are also processed in a case if a claim goes out of timely filing limit.
Effective Communication with Reports
We are proficient in CPT & ICD usage which ensure the reimbursable completion of Charge as per LCD/NCD guideline. We continuously update ourselves regarding any coding changes (ICD & CPT changes/ specially HCPC codes updates) to avoid your revenue cycle delay.
