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 cost. Zenith Alliance 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.

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 super bill 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.
  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
  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.

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
  • Patient Demographic Entry
  • CPT and ICD-10 Coding
  • Medical Billing Charge Entry
  • Submission of Claims
  • Accounts Receivables Follow-up
  • Payment posting
  • Denial Analysis
  • Accounts Receivables Management

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