Orthopedic billing is a key process for maintaining a smooth claim process, reducing claims rejection, and cash flow issues. It is basically the financial pillar of the process and without it, everything will collapse. So, what are the most important aspects to remember while billing? You must carefully review patient information, verify coverage, code, and submit claims quickly. How proficiently you can achieve these feats with perfection?
Maintaining accuracy in billing, patient information, coverage information and understanding the uncommon billing codes requires expertise. Flatworld Solutions is a pioneer in providing orthopedic medical billing services. We have served hundreds of clients mainly based out of USA and UK meeting their requirements and supporting them throughout our collaborations.
Orthopedic Medical Billing Services We Offer
It has been a decade since we started providing various services to our clients under orthopedic medical billing services. We have understood and analyzed our client's requirements through our experience. Based on our analysis, we segmented our service into few sub-services. Let's take a look at them one by one.
Patient Onboarding and Demographic Entry Services
Data with minute errors can result in a straight rejection from insurance payers. When you choose to outsource your task to Flatworld, we will interact with patients and record all the requirements and demographics carefully. The same will be cross-checked from our QA team to ensure the highest number of reimbursements.
Authorizations and Network Verification Services
We work in line with orthopedic practitioners and insurers to get the right authorization in advance to nullify financial risks and extra administrative tasks. We help alleviate the patient's schedule by keeping an eye on all authorized labels regularly. This leads to faster claim processing and higher reimbursements.
Orthopedic Coding Services
Our team of AAPC certified experts with the knowledge of latest ICD coding system, insurance claim guidelines, and terminologies will use latest tools and software to ensure that our practice meets client's expectations and industry standards.
Billing and Account Reconciliation
We control and monitor the complete revenue cycle from payment posting to account reconciliation to ensure the maximum collections. All our billings are done as per the HIPAA compliant methods. We keep in mind those account specific rules while entering the charges which will be audited before transmitting for claims.
Follow-Up on Collections
Business operations will be interrupted if the collections do not happen on time. We professionally take care of those slow-paying and non-paying clients and urge them to make on-time payments. All the details of claims status will be recorded and sent to insurance providers as daily, weekly, and monthly reports.
Orthopedic Medical Billing Process Flow We Follow
In spite of having a good team of experts, infrastructure, experience, tools, and software, lack of an efficient process flow could hinder the timely completion of projects. At Flatworld Solutions, we are all set with our own, most efficient, process flow derived from our past experience. Let us walk you through the unique process flow that we follow for orthopedic medical billing services.
01. Service Agreement Execution
When you choose our services, we ensure that all the paperwork required for the service is performed, including the business partner agreement.
02. Allocation of Project
Once the agreement between the Flatworld Solutions and the partners are in place, we assign the project to a dedicated manager, expert coding and billing professionals to carry out end-to-end orthopedic medical billing.
03. Client Data Transfer Through Secure Channel
The client will transfer the clinical and insurance data through a secure FTP ensure safety and confidentiality of the data and to support easy access to electronic health record (EHR) and document management system (DMS).
04. Billing Service
Our AAPC Certified Professionals having good knowledge in ICD-10, ICD-11 and DSM-5 systems, use powerful billing software to perform coding and orthopedic medical billing functions according to the HIPAA standard.
05. Quality Check
Each and every information in the claim documents will be thoroughly reviewed to check if they meet the specific guidelines of the insurance company and HIPAA. Once all requirements and guidelines are met, we will send the claims.
06. Denial Management
If the payers return claims, regardless of whether it is a missing data or an error, we will quickly verify, validate, fix and forward the claim to ensure reimbursement in the short turnaround time.
07. Submission of Final Claims
We will transmit the claim in the format specified by the insurance provider. To keep track of the data, we will submit claims digitally. The files will be sent through secure FTP to prevent unauthorized modifications and maintain confidentiality.
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Why Outsource Orthopedic Medical Billing Services to Flatworld Solutions?
Flatworld Solutions has provided orthopedic medical billing services with a bunch of extra advantages that have always made our clients choose us. The few of the advantages that have made Flatworld Solutions stay ahead of competitors as most trusted orthopedic medical billing service provider are -
Unlike most of our competitors, we don't charge our clients on packages. At Flatworld Solutions, we follow a process of quoting based on the client's requirements. Our clients will only pay for the work we deliver.
We begin every healthcare billing project only after signing the HIPAA agreement. HIPAA was created to ensure that all patient-related data is kept safe and not divulged to any third party without the relevant permissions.
We give utmost importance to the confidentiality of the client's data. All the data and information transferred from and to clients will be encrypted and transferred through secure FTP. Flatworld is an ISMS certified company and all the employees and consultants are agreed to abide by its policies.
24/7 Customer Support
At Flatworld Solutions, we believe that delivering a project is just the beginning of our services. What makes it service is our constant support to our clients whenever the requirement arises. We have multiple teams who take care of queries from our clients across the globe at different time zones.
Orthopedic medical billing services require more precision. The precision required to lead the competition requires word class tools and software along with experienced professionals. At Flatworld Solutions, we are equipped with effective tools and software to ensure our best services.
Quality and Accuracy
Quality is the key that signifies the value we add to our services. Our multiple teams of QA are equipped with the tools to ensure the highest quality and accuracy in each task we perform throughout the project.
When a single team of experts is concentrating on multiple projects, the productivity will definitely take a toll. At Flatworld, we better understand the drawbacks of multitasking. To deliver top-notch services, our team managers will make sure the whole team is working on a single project at any given point of time.
Single Point of Contact
At Flatworld, we always prefer a single point of contact to rule out all the communication gaps and human errors. We understand that any communication gap between us and clients can bring loss to both the side in terms of money and time.
Scaling up your requirements is just a formal email away when you outsource orthopedic medical billing services to Flatworld Solutions. A large number of experts and team members are all equipped to handle the requirements of any scale.
Quick Turnaround Time
Our well-experienced managers, team leaders, expert professionals, efficient process, tools, and software always work in sync to deliver the projects within the shortest turnaround time.
Client Success Story
Medical Billing Support to a US-based Client
A leading US-based medical billing services administrator was looking for a medical billing service provider. Our team at FWS provided the client with cost-effective services.
Automation of STAT Reports for a Barbados-based Client
A leading group of radiologist based in Barbados was looking for a reliable medical billing services provider who could help them with the automation of STAT reports. We provide the client with cost-effective services.
Outsource Orthopedic Medical Billing Services to Flatworld Solutions
After several days of monitoring the encounters, I believe your team has done a great job and we are ready to hand over the task of approving the encounters. I truly appreciate how smooth this process has been. Keep up the great work!Spokesperson, Healthcare Service Provider, USA More Testimonials »
Flatworld Solutions is a HIPAA compliant and ISO certified orthopedic medical billing services company trusted by hundreds of orthopedic medical practitioners from around the globe for its seamless services form a decade. Our team of more than a hundred AAPC certified coders, subject matter experts, and billers will ensure that all the client's requirements are met and the client will have nothing less than the better experience.
Our orthopedic medical billing and coding is a cost-effective service you can afford without expanding your budget. Our unique process, expert professionals, and world-class infrastructure will guarantee a hassle-free reimbursement with lesser waiting time. Talk to your dedicated team. Sign up now.
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