starsandstripesrcmservices.com
TOP TIER MEDICAL BILLING SERVICES
Outstanding understanding of the common concerns of medical providers and physicians.
Patient Registration
Basic information about the patient is collected and verified, establishing a profile within the billing system to streamline future interactions and claims processing.
Insurance Verification
This step confirms a patient's insurance coverage, ensuring services will be reimbursed by verifying the plan’s benefits, copayments, and deductibles before treatment.
Coding
Medical coders translate diagnoses, treatments, and procedures into standardized codes required by insurance providers, facilitating accurate claim submissions.
Charge Entry
This involves entering the correct medical billing codes and associated charges into the system, forming the basis of the claim.
Payment Posting
Payments received from insurance providers or patients are posted to each account, ensuring the account reflects accurate financials for services rendered.
Clearing House Rejections
Claims may be rejected by the clearinghouse due to errors or inconsistencies; this service identifies and corrects such issues to allow for successful resubmission.
Claim Transmission
The process of submitting claims to the insurance company or clearinghouse in the proper format to initiate payment processing.
Audit Quality Check
Claims undergo a detailed review to confirm accuracy and compliance, reducing the risk of denials or rejections by insurance providers.
Denials Management
When claims are denied by insurers, this service analyzes the reasons and takes corrective actions to appeal and resolve the denial, securing the payments due.
AR Recovery
Focusing on overdue or unpaid claims, this involves tracking and following up with insurers and patients to recover outstanding balances.
Patient Statement
Billing statements are generated and sent to patients, detailing their account charges, payments, and any remaining balance due.
Collections
When payments remain outstanding, collection processes are initiated to obtain the owed amount, following up with patients in a structured manner.