Medical Billing Services | XyberMed

What is medical billing?

Medical billing is the practice of communicating with insurance companies and patients for reimbursement for healthcare services provided by a physician and healthcare facility. Often in conjunction with medical coding, the medical billing process takes the coded documents and ensures that they are accurate and compliant. This requires a thorough understanding of radiology services, documentation practices, and optimal coding of procedures and diagnoses.

What does a medical billing company do?

Medical billing management services are designed to help reduce the burden on the insurance company and patient billing for professional radiology services.

Claims creation and submission: From information about the patient, their visit, and all medical products and services, medical billing companies compile the information using special billing software. The correct medical codes are needed, as medical codes are the language used between healthcare providers and insurance companies, and an incorrect code can result in a denied claim. Claims are submitted through electronic interfaces directly to the insurance companies for review and reimbursement.

Claim resubmission and appeal: In the event, a claim is denied, the billing company is responsible for reviewing and resubmitting the claim, as well as reviewing and resubmitting the claim. The billing company will also handle appeals for various denial reasons.

Payment collection: The medical billing company handles collections from insurance companies and/or patients who have received services. Healthcare.

An effective medical billing company will provide monthly reports delivered through multiple mechanisms that include a diverse data set.

What HAP can do to improve your revenue cycle?

Operating as a true steward of your financial success, we are committed to tracking all submissions and resolving claims issues as quickly as possible. HAP offers a team of revenue cycle specialists, specialty-trained certified coders, and patient care representatives who use advanced workflow technology to successfully navigate the complicated regulations surrounding the reimbursement process.

Our best practices also ensure that compliance is rigorously integrated into our operations. We supplement these policies and procedures with internal and external audits conducted by individuals adept at identifying inaccuracies that could delay or reduce reimbursement. In addition, our comprehensive business intelligence platform provides deep insight into all aspects of your practice, including provider productivity, so you know exactly how your team is performing against targets.

As leading medical billing services, we offer comprehensive and dynamic revenue cycle management solutions designed to meet the demands of the changing healthcare economy.

With HAP's support of your practice, you receive Payer-specific data cleansing and rules processing and demographic verification.

Specialty-specific medical coding services (diagnoses and procedures).

Eligibility verification Third-party billing Payment posting and electronic remittance management Accounts receivable management Physician credentialing Contract deviation reporting Business intelligence: standard and ad hoc management reports with drill-down capability Web portal for interactive report generation and viewing Call center for patient queries and follow-up Patient portal with convenient payment options Our medical billing services for radiologists consistently deliver a better bottom line because we are dedicated to collecting every penny of your well-earned reimbursements for you. With HAP working as part of your team, you spend less time worrying about dealing with insurance companies, denying claims due to errors, or collecting payments.