You may be curious about what they will do and what you will still need to do in-house if you are looking to outsource your medical billing. Guhilot’s Revenue Cycle Management solution will take care of all your claims submissions, follow-up with patients, and communication with insurance companies.
Here is a complete list of services that we offer as a medical billing firm:
Table of Contents
1) Submission of Claims and Bills
Our core service automates billing and claims submission by integrating with your EMR system. This pulls each visit’s details and relevant patient information into a standard claim form. We then run a series on claims scrubbing tools to review each claim to make sure it is correct and that the appropriate codes are used to maximize reimbursement.
Our team also handles any follow-up and resubmission of claims for denied claims. This ensures that your practice gets the revenue it needs to provide care.
2) Verification of Benefits
It can be frustrating to find out that a service rendered to a patient is not covered by their particular benefits. This could lead to denied claims or accounts receivable amounts remaining much longer than they should. Our medical billing services will help you and your team to ask the right questions in order to determine if a patient’s plan covers certain services.
3) Credentialing
We handle all of the credentialing for new physicians and treatment renderers joining your team or if you are looking to contract with a new payer. We can handle both commercial and government payers. This includes Medicare, Medicaid, VA insurance, as well as private payors. To ensure that you are not denied reimbursement because of a lack of credentials with a particular payor, we keep your providers and active staff updated.
4) Utilization Review
We verify patient benefits and obtain authorization from payers to perform certain services, if you are able but not contracted for certain codes. We know that insurance is complex and changing constantly. That’s why we advocate for you to ensure maximum reimbursement.
5) Patient Payment Collection
Your staff must also communicate with patients who owe money for services rendered. This is a time-consuming task. To secure payments, we reach out to past patients by phone, email, and postal mail. This frees up your staff to focus on other important tasks.
6) Accounting Receivable Management
Guhilot monitors your revenue cycle to identify outstanding payments and pursues patients or payors who owe the balance. We post your payments promptly and keep track of both electronic and paper filings.
7) Transparent reporting
Medical billing companies should make sure you have the most current financial information about the services they provide. Guhilot offers this information, along with monthly meetings to discuss our progress and goals. We’ll discuss the claim submission and acceptance rates, the state and transactions for the previous period.
Medical billing services save you time and earn you money
Partnering with experts such as Guhilot can help you outsource the repetitive and fickle tasks that distract your team from providing high-quality care. Guhilot has experience is able to help you get paid more frequently for the services that you provide. Our sole focus is revenue cycle management. Call us or contact us online to learn more about our services.
