In the past decade, hospitals have faced shrinking margins due to rising costs, a shortage of qualified coders, and constantly evolving regulations. Next Level Medical Billing Solutions is here to extend your team and guide you in optimizing collections more efficiently.
We offer a wide array of customized medical billing solutions designed to address the specific needs of healthcare systems. Our services streamline billing, enhance accounts receivable recovery, and minimize costly errors, leading to faster payments that align with your organization’s unique requirements.
An inefficient billing process can significantly disrupt your financial operations. Now is the perfect time to consider outsourcing your billing or revenue cycle management. Outsourcing provides a smart solution that helps you organize the entire billing and accounts receivable recovery process at a fraction of your current operational costs.
Next Level Medical Billing Solutions has quickly established itself as a leading revenue cycle management company by delivering tailored hospital billing services to some of the top healthcare systems in Texas. Partnering with us means you can openly discuss your healthcare challenges and work together towards effective solutions.
Next Level Medical Billing Solutions can assist you in establishing a robust payment and tracking process for your expenses. With years of experience working alongside healthcare systems and hospitals, we have the expertise to help you increase your reimbursement rates by over 25%. Our comprehensive services include revenue cycle management, accounts receivable recovery, medical records review, inpatient DRG analysis, credentialing, and prior authorization support.
Medical Billing Services for Healthcare Systems
We offer comprehensive billing solutions tailored to healthcare systems, including a range of customizable services, such as:
Insurance Eligibility Verification Services
In this process, we ensure that patients qualify for benefits under their insurance policies and verify any pre-authorization or referral requirements specific to their plans. Once eligibility is confirmed, we calculate the deductible amounts and the patient’s co-payment. Our services are designed to enhance cash flow, improve reimbursements, and streamline the insurance eligibility verification process.
Demographics and Charge Entry Services
Charge entry is a critical component of the billing process, as it directly affects the payment received by the healthcare organization. Charges from the patient’s FaceSheet are meticulously entered into the patient’s account.
Having a skilled team dedicated to patient demographics entry is vital, as they must ensure that accurate data is input into the system. Our healthcare system billing services team is equipped to deliver high-quality, error-free patient demographic and charge entry services.
Billing and Analysis
Our medical billing team conducts thorough reviews of various sources in a patient’s file, including physician transcriptions, diagnostic test results, imaging reports, and more, to verify the services provided and assign the appropriate codes.
Submitting incorrect codes can lead to frequent claim denials, underpayments, and workflow disruptions. These challenges can create unnecessary burdens related to claims and complicate the medical billing process.
Accounts Receivable Follow-up Services
Managing follow-ups on all accounts receivable can be a labor-intensive and challenging task. We diligently pursue unpaid claims to minimize accounts receivable days. Our accounts receivable management team also ensures that denied and underpaid claims are promptly appealed, facilitating timely processing and reimbursement.
Collection Services and Denial Analysis
Claim denials can lead to significant revenue loss for organizations, making it essential to track them closely. Our healthcare systems collection services team identifies the reasons for denials, corrects any errors, and resubmits denied claims within the required filing timeframe.
If a claim is denied due to insufficient information, we address those gaps as quickly as possible. Our healthcare billing professionals and analysts work with you to monitor denials, analyze their causes to improve processes, and reduce the overall number of denials.
Payment Posting
Payment posting serves as the initial step in identifying payer issues. Our team meticulously reviews denials related to medical necessity, non-covered services, and prior authorizations, assigning these cases to the appropriate team members for resolution.
We carefully examine ERAs (Electronic Remittance Advice) and scanned EOBs (Explanation of Benefits) to ensure that all payment details are accurately recorded in the system. Once this is complete, we promptly update the data in the corresponding patient accounts.
Provider Credentialing
Provider credentialing is a crucial phase in the revenue cycle, determining how a physician or provider is linked with payers. This process enables patients to utilize their insurance cards for medical services while ensuring that providers receive timely compensation for their services.
Our billing team accelerates the payment process through effective ERA setup, increases referral opportunities, minimizes revenue leakage, reduces denials, and identifies provider trends to enhance overall efficiency.
Out-of-Network Negotiation
Our comprehensive and strategic approach is designed to maximize savings on out-of-network claims. To create a seamless process, our negotiation team effectively integrates insights and systems into your existing workflows.
We leverage specialized algorithms and extensive provider databases to identify key cost areas and ensure optimal reimbursement. Our dedicated team meticulously handles each claim across various insurance plans, tirelessly working to secure the highest possible reimbursement for the services provided.
Next Level Medical Billing Healthcare System Revenue Cycle Management Process
Healthcare System Revenue Cycle Management (RCM) is a complex and comprehensive process in the United States that begins when a patient schedules an appointment and concludes when the healthcare provider receives full payment. As a premier provider of RCM services for healthcare systems, Next Level Medical Billing ensures the delivery of top-tier billing services through a structured and efficient Revenue Cycle Management approach. The key steps in our healthcare systems accounting process include:
- Utilization of Advanced RCM Software
- Verification of Insurance Eligibility
- Patient Pre-Certification and Authorization
- Entry of Demographics and Charges
- Management of Co-Payments and Deductibles
- Claims Submission
- Reimbursement for Services Rendered
- Denial Management
- Comprehensive Billing and Collection Services
- Handling Medical Appeals
- Processing Refunds
RCM Software Supported by Next Level Medical Billing
Billing software plays a crucial role in the revenue cycle management process. Administrative tasks and billing procedures are often time-consuming and heavily reliant on paperwork. Utilizing modern medical billing software enables our team to operate with maximum efficiency in coding, filing, and tracking claims.
With years of experience in the healthcare sector, we have developed a deep understanding of our clients’ needs and have tailored our services accordingly. Our team is proficient in a variety of tools and technologies for billing in healthcare systems, as well as for urgent care and emergency room services. We are equipped to work with all major medical billing software, including:
- CollaborateMD
- Medisoft
- Medical Manager
- Docutap-Experity
- eClinicalWorks
- NextGen
- Advanced MD
- Kareo
- Gorev
- Elligence, and more.
Why Choose Next Level Medical Billing for Healthcare System Billing Services
Next Level Medical Billing offers a full spectrum of medical billing solutions designed to meet the specific needs of your healthcare organization. With extensive experience serving both short-term and long-term care facilities, we cater to a diverse range of clients, from standalone hospitals to complex healthcare systems with multiple facilities and specialty programs. Below are some of the prominent hospitals and healthcare systems in Texas that we have successfully partnered with:
- Altus Health System
- Memorial Hermann Health System
- Kindred Healthcare
- Houston Methodist
- Cornerstone Healthcare
- UTMB Health
When you choose to outsource your healthcare system billing services to Next Level Medical Billing, you gain access to a wealth of resources. Key reasons to select us as your medical billing and coding partner include our commitment to providing HIPAA-compliant billing services and our use of cutting-edge tools and technologies. Our experts are available 24/7 to address your inquiries and ensure timely billing services.
We pride ourselves on offering affordable and customized medical billing and coding solutions. You can rely on us for the following comprehensive billing services:
- Complete healthcare system revenue cycle management
- Accurate and efficient medical billing services
- Enhanced documentation and administrative task management
- Metrics to support better analysis
- Workflow integration through application services
- Improved data analytical capabilities
Key Points That Make Us the Leading Medical Billing Company
- Our team reduces front-end denials by 20%.
- We minimize manual entry errors and enhance RCM system efficiency.
- We improve the accuracy of fees and collections.
- Expertise in Out-of-Network Negotiations.
- Efficient payment posting and refund adjustments to optimize cash flow.
- A dedicated account manager to address all your needs.
- We deliver high-quality, error-free billing and collection services.
- Our clients consistently see increased collection ratios due to a streamlined accounts receivable process and timely follow-ups.
- We utilize the latest technology and tools for optimal performance.
- Our services are scalable to meet your evolving requirements.
- We implement quality control procedures and structured billing processes to guarantee error-free billing.