Call : 1-813-817-5602
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Streamline Your Medical Billing Process
Efficient and accurate medical billing services for your practice.
Call : 1-813-817-5602
Efficient and accurate medical billing services for your practice.
We strive to stay in communication with our clients. Have a question about our billing practice, or want to see if we match your needs? Send us a message, or give us a call to know more about our medical billing services.
10403 Greendale Drive, Tampa, Florida 33626, United States
Call : 1-813-817-5602
Open today | 09:00 am – 05:00 pm |
Our team of billing specialists and coders are highly trained and experienced. We stay up-to-date with the latest industry trends and regulations to ensure our clients receive the best possible service.
We offer a comprehensive range of medical billing services, including credentialing, coding, claims submission, payment posting, denial management, and more. Our customized solutions are designed to meet the unique needs of each of our clients.
See details below.
Why outsource your billing operations? We design your customized medical billing solution with you. Whether you envision a full service solution, which encompasses the entire revenue cycle, from sign-in through patient collections; or you feel more comfortable with monitoring underpaid or unpaid claims, we make sure the outcome fits your style.
We utilize technology to maximize front-end efficiencies. Clean claim payment for more than 98% of claims submitted is standard, which we meet or exceed routinely. We improve accuracy before the first claim is entered by ensuring accuracy in contracting, up-to-date credentialing, eligibility checks, coding updates, communications with front line staff to collect outstanding money, and provider education. All this to maximize quick turnaround and minimize aging receivable.
We do not stop after insurance money is collected. We answer patient calls and help understand balances. The clinic staff can refer the financial aspect of healthcare in its entirety to us. This simple shift in focus has helped staff and providers to re-focus on patient care.
Your practice depends on contracts with carriers. Today, it is not only negotiating the best contract, it is about having contracts. As networks concentrate on as few as possible “preferred” providers, we can show you how to become part of that select group. We guide you through the process so as to benefit from the carriers’ marketing to their special status providers, as well as improve your revenue by capitalizing on incentive structures.
Increasingly, this is one of the most cited reasons for denials. We make sure your credentials are up-to-date. We collect your credentials, keep them in our secure servers and update the carrier platforms as required. All you need to do is sign. No more threatening letters or lapsed contracts.
Whether you are a MIPS or APM eligible provider, incentives are no longer just “gravy”. They make increasingly a portion of the Medicare reimbursement. We help you getting the full benefit of these value based payments. What others offer as one-fits-all webinar, or podcast deluge, we take pride in making sure you and your staff understand, participate in the creation of workflows, and are comfortable with the outcomes. We build success from the ground up. Sustainable, scalable, and future-oriented.
We leave the clinical part to you. But we can give you guidance on the financial aspects of Accountable Care Organizations (ACO), Risk Management contracts, and their many incarnations. We look at the way your practice works today, design future states with you, and calculate the possible financial scenarios.
Taking risks is part of medicine. Running a practice should be calculated.
We can help!
In today’s technology driven healthcare environment, providers must select software that works for them. We help you find the system that best caters to your specific needs, your specialty, your setting, and a myriad other variables means setting a practice up to succeed. We act to help you understand key decision points that will help you to save money and aggravation down the road.
A practice needs the right staff to hum. The staff needs mapped out workflow processes to efficiently and effectively support the provider in patient care. Our medical practice startup consultant will take care of that, and help you put it in writing to make sure you pass all audits and licensing requirements with flying colors!
Your practice is worth what you can get someone to pay for it. Selling a medical practice is different than any other business. We help position your practice strategically to highlight its strengths. With our decision tools and knowledge base at your fingertips, you can confidently negotiate for maximum returns.
Your practice is ready to expand, but you need to be sure the cost of a physician extender or additional physician can be absorbed? We have the tools and experience to help you make these decisions. When the time comes to grow your practice, either by acquiring clinics or adding providers, we show you the bottom line. Now, in a year, in five years. Because we are in the business of growing practices.
Changing computer systems is a big undertaking in a medical office. While we are far from the “paperless” office once imagined, without functional computer system most practices today would be inoperable. Therefore, changing software or hardware can be traumatic. We have helped countless practices to manage their migration from paper to electronic records, from one to another EHR system, or from server to cloud-based networks. Transitions like these require detailed project planning and in-depth knowledge of the architecture of medical systems.
We bring the knowledge and work out a detailed project plan with you and the vendor(s). Then we oversee the implementation phase and trouble-shoot the inevitable unforeseen. Only your sign-off completes the transition.
We are with you all the way.
Medical Billing and the collections process is important on both the patient and the medical office sides. Billing is an important aspect of the medical field that can seem complicated at first. Here we will break down the main steps throughout medical billing and collection in Sarasota. They include registering a patient, to medical billing to debt collections.
Did you know, 30% of the average healthcare bill now comes from the patient’s pocket? 90% of patients felt it was important to know their payment responsibility upfront
Providing a patient with adequate care from start to finish requires having patient information on file. This ensures that medical professionals have a full picture. Every patient’s information is kept for billing and booking purposes. When registering a patient, they must provide personal and insurance information to the provider. This ensures they are eligible to receive services from the medical service provider.
Medical Billing and Collections determine the responsibility. Are the services rendered covered by the patient’s medical insurance policy? Whether it is complete, partial or no coverage, this step determines who received and pays the medical bill. Clear communication within this step is important so that bills are paid properly and on time by the right payer.
Are the services rendered covered by the patient’s medical insurance policy?
When a patient enters or leaves the medical office, it’s important for each to be logged. During check-out, patients may have to pay co-pay at that very moment, especially when insurance policies have already been sorted out. Once a patient leaves the office, the information from the visit is sent to a medical services coder. The coder then compiles what is called a ‘superbill.’ A superbill contains all relevant information for the next steps in the medical billing and collections process. These include name of the provider, name of physician, name of patient, procedures performed, codes for the diagnosis and procedure, and other medical information.
Once the medical bill has been coded, a claim is prepared and sent to the patient’s insurance provider. At this stage, a biller won’t send the full cost to the insurance provider. Instead, the amount they expect the payer to pay according to the policy with the patient and the provider will be outlined on the claim. When a claim is made, it’s important that the biller ensures that the coding, services, pricing and format are all correct.
Submitting a medical claim takes a little more than simply sending off an email. Instead, most payers require claims to be submitted in very specific formats. While a medical office can do this themselves, it’s quite common for a medical office to utilize a third-party organization or company. Known as a clearinghouse, they receive and reformat claims from billers and then transmit them to payers as they are required.
Once a claim is submitted, the payer responds. At this point in the medical billing and collections process, a payer will respond to the claim and confirm whether the services fall within the contract with the patient. Rejection occurs at this point possibly due to a lack of coverage, or incorrect coding or formatting. A payer will follow-up when adjudication is complete with a report to the biller. The report details what and how much of the claim they are willing to pay and why.
Once the payer hears a response, the medical office must provide a statement to the patient. This confirms which payer is responsible for payment. This person will also be held accountable for any collections.
Last but not least, managing payments is the final step in medical billing and collections in Sarasota. Billers are in charge of timely and accurate medical billing and collections. Accelerated Medical Billing follows all these processes, if this is something that you are interested in than hire the best.
Call us today at 813-817-5602
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