Medical Billing and Coding Services

Medical Billing & Coding Services

Submitting medical bills on time and getting those claims reimbursed without delay is crucial for successful revenue cycle management. Healthcare providers would agree that efficient follow-ups with the payers are necessary to get the rejected and denied claims reimbursed. However, effective medical billing and coding in-house is tough, and is best achieved when outsourced to professional medical coders.

Outsourcing medical billing and coding services can help you avail cleaner and faster claims at less costs. Flatworld Solutions understands the criticality of timely medical billing and coding, and frees you from the follow-up and administrative hassles associated with billing and coding, in turn, helping you focus on providing healthcare services to patients and your core competencies.

Services We Offer

We have the industry-best infrastructure and the required expertise to provide global clients with a gamut of medical billing and coding services. Once you partner with us, you do not have to worry about managing your revenue cycle, as our prompt medical coding team will accurately code the services availed and our billing team will ensure that the claims are reimbursed on time. Therefore, we help you in efficiently managing your cash flow. Following are some of the major services we offer -

  1. Medical Billing Services

    Our billing department ensures that all bills are submitted with the correct information. We understand how important it is to enter details correctly so that there are no delays or denials. Whether it is a superbill or an encounter form, our trained staff will accurately and efficiently enter details related to patient demographics, CPT & ICD codes along with modifiers, number of units, and date of service. In addition, we conduct Quality checks at multiple levels to ensure accuracy of data.

    Read the case study where we provided complete end-to-end medical billing services to a Maryland based client.

  2. Medical Coding Services

    Accurate medical coding is critical for all healthcare providers. We can help you ensure compliance with government regulations and improve coding accuracy. All you should do is to scan your patient records and upload them on our secure FTP server. Then our dedicated team of coding experts will download and analyze these files daily. In the end, our team of Quality Assurance (QA) specialists will check the submitted claims for -

    • Incorrect or missing ICD-10 diagnosis
    • Incorrect or missing CPT-4 modifiers
    • Incorrect or missing CPT procedure codes

    Read our article which highlights the key differences between medical coding and medical billing.

  3. Medical Claims Processing

    We can perform both online claims processing as well as process paper claims. For online claims, we have the capability to connect to the software you leverage with the help of a secure connection and submitting all such claims electrically. In addition, our QA team will perform Quality checks at two levels. This helps us eliminate any errors and ensures that chances for the rejection of claims are minimized.

  4. Accounts Receivables Management

    We understand the importance of persistent follow-ups for faster reimbursements. Our trained personnel constantly keep in touch with the insurance companies through phone, e-mail, etc. to ensure that claims are settled quickly. All payments are then posted on the billing software. Any partial payments or denials are analyzed in detail. They are then corrected and re-submitted to the insurance provider.

  5. Revenue Cycle Management

    We can help you submit claims in a timely fashion. We not only process claims, but also follow-up with insurance companies to maximize the reimbursed amount. Our focus is on ensuring that all the claims are paid without any delay. In this way, we can help you increase your revenue, reduce your operational costs and better manage your cash flow.

Our Medical Billing & Coding Specialty

Apart from the above services, we have the required infrastructure and expertise to offer a comprehensive range of specialty medical billing and coding services which include -

Insurance Eligibility Verification

Here, we ensure that the payer and benefits information submitted by the patient is correct, thereby reducing the instances of claims denial and rejection drastically

Patient Demographic Entry

This involves creation and maintenance of patient files with all the information of a patient, such as contact details, insurance provider's information, etc. If any information is not provided, then our professionals will follow the client to get it

CPT and ICD-10 Coding

Appropriate coding of the medical condition diagnosed is important for claims processing followed by release of payments from the insurance providers. Our medical coders provide accurate coding to ensure that none of the claims get rejected due to improper coding

Medical Billing Charge Entry

We follow structured charge entry process and check all the cost-related data for accuracy and legitimacy to prevent denial of the claims submitted

Submission of Claims

Once you outsource your medical billing and coding services to us we will ensure that all the claims are submitted on time. This prevents delay in receiving payments from the insurance provider, thereby, keeping your cash flow intact

Accounts Receivables Follow-up

We save our clients from losing significant returns by timely follow-up of the medical claims. Our structured and streamlined follow-up will ensure that all the payments are received on time

Payment posting

We promptly post payments to patient accounts and address the denials quickly. How about reading an article on 5 key advantages of payment posting in medical billing and how it can help optimize revenue cycle management?

Denial Analysis

Our professionals will conduct detailed denial analysis and identify ambiguous or incorrect data and rectify it. This assures quick reimbursements of the denials

Accounts Receivables Management

We successfully manage various reports associated with insurance claim reimbursement, including collection analysis, analysis of the insurance contracts, etc. to ensure prompt and timely reimbursements

Why Choose Flatworld as Your Medical Billing & Coding Partner?

Flatworld Solutions has over 11 years of experience in providing medical billing services and medical coding services. Our global clients range from individual physicians to hospitals to medical billing companies. Partnering with us has the following advantages -

  1. Affordable Pricing

    Billing and coding requirements vary from one client to another and depends on various factors. For this reason, we offer highly customized services for each of our clients at affordable rates

  2. Advanced Medical Billing Software

    Committed to provide excellent services to all our clients, we leverage the latest and the best medical billing software. Besides, if you use any specific software, our team can assist you by using the software that you are comfortable with

  3. 100% HIPAA Compliant Processes

    HIPAA was framed to protect the privacy of the patients and various other members who are a part of healthcare plans. At Flatworld, we walk an extra mile to maintain confidentiality and security by providing HIPAA training to our team and carrying out regular audits at every stage of the project

  4. Medical Data Security

    Medical data should be handled carefully without any scope for data breach. For this reason, we have a stringent project security system in place to ensure complete confidentiality of the patient

  5. Shorter Turnaround Time

    Quick processing and reimbursements are essential for maintaining the revenue cycle of the healthcare provider. With daily processing and submission of claims by our professionals you can be assured of timely payments from the insurance providers

  6. Reduced Operating Costs

    Once you partner with us for billing and coding of medical claims, you can reduce your overhead costs by at least 40%, with higher accuracy and efficiency

  7. Efficient Follow-up for Faster Reimbursements

    Rejected or denied claims require regular follow-ups, which is a time-consuming, labor-intensive process. Our professionals will promptly follow-up the payers with all the updated information to get payments on time

  8. Quicker Settlements and Higher Profitability

    Once the payments are settled on time, there will not be any glitches in the revenue cycle of the healthcare provider, ensuring better profitability

  9. Reduced Staffing Issues

    Outsourcing frees organizations from managing staffing issues, such as maintaining talent pool that is large enough to handle your volumes and scale down the team when there is less number of claims to process

  10. Quick Denial Tracking & Efficient Dispute Resolution

    We have a quick and streamlined process to carry out prompt follow up of the denied claims. Our professionals will also efficiently resolve any disputes to get the claims without any further delay

  11. Trained and Certified Billing Specialists

    Our Certified Coding Team (CCT) consists of rigorously trained billing specialists who are aware of all the processes and are also updated with the necessary security measures

Choose Flatworld Solutions as Your Medical Billing and Coding Partner

Flatworld Solutions is one of the leading outsourcing firms offering a gamut of Healthcare BPO services to global clients for over a decade now. We understand the challenges that clients face while getting the claims reimbursed. Our aim is to provide superior medical billing and coding services that leave you free to focus on your patients. We also provide quality services of medical claims processing, revenue cycle management, hospital billing, etc. Therefore, whatever requirements you have, we can successfully assist you with everything.

Get in touch with us now to outsource medical billing and coding services and discuss your project specifications with our professionals.

Pricing

Pricing

Pricing is a critical factor to consider before outsourcing. Our pricing model allows you to keep your costs in control.

Case Studies

Case Studies

Read Case Studies to find out how we helped our clients with Healthcare BPO.

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