At Next Level Medical Billing, our experienced medical billing team offers seamless hospital billing services that minimize costly errors and ensure quicker payments tailored to your healthcare organization’s specific needs.
Are you confident in your financial performance when it comes to accounts receivable? An inefficient hospital billing process can severely impact your financial health. Now is the perfect time to consider outsourcing your hospital billing services. Outsourcing presents a smart solution that streamlines the entire billing and collection process at a significantly reduced operational cost.
Next Level Medical Billing can enhance your payment tracking and expense management. With years of experience working alongside hospitals and healthcare providers, we can help increase your reimbursement by over 20%. Our comprehensive hospital revenue cycle management services include medical accounts receivable, medical records management, practice management, and patient engagement solutions. Our dedicated team will save you time, ensure accuracy, and expedite collections.
Comprehensive Hospital Medical Billing Services
At Next Level Medical Billing, we offer a full range of hospital billing services, including
tailored solutions to meet your specific needs:
Insurance Eligibility Verification Services
Our process includes verifying patients’ eligibility for hospital benefits according to their insurance policies, as well as checking for any pre-authorization or referral requirements that may apply to their plans.
Following the verification, we calculate the patient’s deductible and co-payment amounts. Our comprehensive services are designed to improve cash flow, boost reimbursements, and streamline the eligibility verification process, ensuring a more efficient revenue cycle for your facility.
Demographics & Charge Entry Services
Charge entry is a crucial step in the billing process, as it directly impacts the payment amount for healthcare organizations. Our team meticulously inputs charges from the patient’s FaceSheet into their account to ensure accuracy.
Having a skilled team for entering patient demographics is vital, as precise data entry is essential for the billing process. At Next Level Medical Billing, we offer high-quality, error-free demographic and hospital charge entry services to support your billing needs.
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Hospital Billing & Analysis
Our medical billing experts conduct thorough reviews of multiple sources in a patient’s file, including physician transcriptions, diagnostic test results, imaging reports, and other relevant documentation, to verify the services rendered and accurately assign codes.
Submitting incorrect codes can lead to persistent claim denials, underpayments, and workflow disruptions. These challenges can create unnecessary burdens related to claims and complicate the medical billing process. Our team is dedicated to ensuring accurate coding and smooth billing operations, minimizing these issues for your facility.
AR Follow-up Services
Managing accounts receivable can be a labor-intensive and challenging task. Our team diligently follows up on unpaid hospital claims to minimize AR days. We are committed to swiftly appealing denied and underpaid claims to ensure timely processing and reimbursement.
Hospital Collection Services & Denial Analysis
Claim denials can lead to substantial financial losses for healthcare providers, making it essential to track them closely. Our hospital collections services team identifies the reasons for denials, corrects any errors, and promptly resubmits claims within the filing deadlines.
If a claim is denied due to insufficient information, we address those gaps immediately. Our billing professionals and analysts work diligently to monitor denials, analyze their causes to enhance processes, and ultimately reduce the frequency of denials.
Payment Posting
Payment posting is a critical first step in identifying payer issues. Our team efficiently identifies denials related to medical necessity, non-covered services, and prior authorization, assigning them to the appropriate staff for resolution.
We meticulously review Electronic Remittance Advice (ERAs) and scanned Explanation of Benefits (EOB) documents to ensure every payment detail is accurately recorded in our system. Afterward, we ensure that all data is correctly updated in patient accounts, maintaining accuracy and consistency in billing records.
Provider Credentialing
Provider credentialing is a crucial component of the revenue cycle, facilitating the relationship between physicians or providers and insurance payers. This process enables patients to utilize their insurance coverage for medical services while ensuring that providers receive timely payments for the care they deliver.
Our hospital billing team enhances payment speed through efficient Electronic Remittance Advice (ERA) setup, increases referral opportunities, mitigates revenue loss, minimizes denials, and identifies trends in provider performance.
Out-of-Network Negotiation
Our strategic, multi-layered approach maximizes savings on out-of-network claims. Our Out-of-Network Negotiation team seamlessly integrates with existing processes to create an efficient negotiation framework.
By employing advanced algorithms and leveraging comprehensive provider databases, we pinpoint significant cost areas and optimize reimbursement opportunities. Our team diligently negotiates each insurance claim to secure the highest possible reimbursement for services rendered.
Next Level Medical Billing Services Billing Hospital Revenue Cycle Management Process
Hospital Revenue Cycle Management (RCM) is a sophisticated and extensive procedure in the healthcare system of the United States of America that begins with the patient’s appointment and ends when the healthcare provider receives all payments.
As one of the leading hospital RCM service providers, we can quickly deliver high-quality hospital billing services through a systemic and efficient hospital accounting approach. The important steps in our hospital accounting procedure includes:
- Appropriate RCM Software
- Insurance Eligibility and Verification
- Patient pre certification or pre-authorization
- Demographics and Charge Entry
- Co-payments and Deductibles
- Filing claims
- Reimbursement for the Services Rendered
- Manage denials
- Hospital billing & collection services
- Medical appeals
- Refund
RCM Software Supported by Next Level Medical Billing
Billing software plays a crucial role in the revenue cycle management (RCM) process. The billing and administrative tasks in healthcare can be time-consuming and require extensive paperwork. Modern medical billing software systems enable billers to operate efficiently when coding, filing, and tracking claims.
With years of experience in the healthcare industry, we have developed a deep understanding of our clients’ needs and have tailored our services accordingly. Our team is proficient in various tools and technologies for hospital billing, including urgent care and emergency room billing.
We are capable of working with major medical billing software platforms such as:
- CollaborateMD
- Medisoft
- Medical Manager
- Docutap-Experity
- eClinicalWorks
- NextGen
- Advanced MD
- Kareo
- Gorev
- Elligence
Why Choose Next Level Medical Billing Services for Hospital Billing Services
Next Level Medical Billing offers a comprehensive suite of medical billing solutions tailored to the unique needs of your healthcare organization. With extensive experience working with both short-term and long-term care facilities, we serve a diverse range of clients, from independent hospitals to large healthcare systems with multiple facilities and specialized programs.
We are proud to have collaborated with some of the leading hospitals and healthcare systems in Texas, including:
- Altus Health System
- Memorial Hermann Health System
- Kindred Healthcare
- Houston Methodist
- Cornerstone Healthcare
- UTMB Health
When you outsource your hospital billing services to Next Level Medical Billing, you benefit from a wealth of resources and expertise.
Why Choose Next Level Medical Billing?
- HIPAA-compliant hospital billing services.
- Utilization of cutting-edge tools and technologies.
- 24/7 availability to address your inquiries and provide timely billing services.
- Affordable, customized medical billing and coding solutions designed to meet your specific needs
You can contact us for following comprehensive hospital billing services:
- Entire process of hospital revenue cycle management.
- Precise and efficient medical billing services.
- Improvement in the documentation and administrative task.
- Metrics that can help you analyze better.
- Workflow integration via application services.
- Improving Data’s Analytical Capability.
Reach Out to Us for Comprehensive Hospital Billing Services
We offer a wide range of hospital billing services, including:
- Complete hospital revenue cycle management
- Accurate and efficient medical billing solutions
- Enhancements in documentation and administrative processes
- Metrics designed to improve your analytical capabilities
- Seamless workflow integration through application services
- Advanced data analytics to boost performance
Key Points That Makes Us Best Hospital Billing Company
Following are some of the main points which makes us one of the best hospital medical billing company:
- Our team ensure that your front-end denials are 20% less.
- Reduce manual entry concerns and improve RCM system efficiency.
- Improve the correctness of the fees and collection.
- Out of Network Negotiations.
- Payment posting and refunds adjustment to improve the cash flow.
- Account manager dedicated to all your requirements.
- Provide high quality and error-free hospital billing and collection services.
- We always increased the collection ratio of our clients as a result of faster account receivable process and on time follow up.
- Use the latest technology and tools.
- Offer Services that are easily scalable at all times.
- Use quality control procedures and structured billing processes to ensure error-free billing.
In the last decade, hospitals have seen margins shrink even more and with rising costs, shortage of trained coders, and ever changing regulations, RMB is here to be an extension of your team and lead the way in assisting you to collect more, faster.
Right Medical Billing offers a comprehensive range of tailored medical billing solutions to meet the unique needs of your healthcare systems. We provide hassle-free billing, AR recovery services and eliminate costly errors, resulting in speedier payments to match your healthcare system’s unique requirements.
A disorderly healthcare system’s billing process significantly damages your financial nervous system. At this moment, you can think about outsourcing your billing or revenue cycle. Outsourcing provides you with an intelligent solution that helps you arrange the whole process of billing and AR recovery at a fraction of your operating costs today.
RMB became a successful revenue cycle management company within a few years because of providing customized hospital billing services to some of the leading healthcare systems in Texas. With Right Medical Billing as your partner, you can share your healthcare challenges with us.
Right Medical Billing can help you maintain an effective payment and tracking process for expenses. We deal with healthcare systems and hospitals for over past years and can help you raise your reimbursement by more than 20%. We provide complete revenue cycle management services, accounts receivable recovery, medical records review, inpatient DRG review, credentialing, and prior authorization services.
Medical Billing Services We Offer to Healthcare Systems
We provide complete billing services as well as customize services which to healthcare systems which include the following
Insurance Eligibility Verification Services
In this procedure, we will verify that patients are eligible for benefits under their insurance policy and also that patient plan have pre-authorization or referral requirements.
After checking, we compute the amount of deductible and the patient’s co-payment. Our services have enhanced cash flow, reimbursements and insurance eligibility verification services.
Demographics & Charge Entry Services
The main step in the billing process is charge entry, which determines the amount of payment for the healthcare organization. Charges from patient FaceSheet are entered into the patient’s account.
It is essential to have a talented team working on patient demographics entry since they must enter highly correct data into the system. Our healthcare system billing services team can provide you with high-quality and error-free patient demographic and charge entry services.
Billing & Analysis
Our medical billing team reviews several sources in a patient’s file, such as the doctor’s transcription, diagnostic test reports, imaging reports, and other sources, to verify the services performed and assign appropriate codes.
Incorrect code submission can lead to continuous claim denials, underpayments, and a disrupted workflow. Such difficulties can result in unnecessary claim-related burdens and complex medical billing issues.
AR Follow-up Services
Following up on all accounts receivable instances can be a time-consuming and difficult effort. We pursue unpaid claims persistently to keep AR days to a minimum. Our accounts receivable management staff also ensures that refused and underpaid claims are appealed as soon as possible to guarantee that they are processed and reimbursed on time.
Collection Services & Denial Analysis
Claim denials can result in significant losses for companies; thus, they must keep track of them. Our healthcare systems collections services team determine the reason for denial, correct the errors, and resubmit the denied claims within timely filing limit.
If the claim is denied due to the lack of sufficient information, the gaps are addressed as soon as possible. Our healthcare system billing professionals and analysts can assist you in keeping track of denials, analyzing the cause of denials for improving the process, and reducing the number of denials.
Payment Posting
Payment posting is the first line of defense in recognizing payer issues. Denials for medical necessity, non-covered services, and prior authorization will be identified and assigned to appropriate team members to handle.
We look over ERAs and the scanned EOBs (Explanation of Benefits) to ensure that every detail about the payment is entered into the system. Following that, the data is appropriately updated into patient accounts.
Providers Credentialing
Provider credentialing is a vital stage in the revenue cycle and how a physician or provider gets associated with payers. The technique allows patients to use their insurance cards to pay for medical services consumed while also allowing the provider to get paid for the medical services provided.
Our billing team processes the faster payment by setting up ERA setup, gets more referrals, mitigates revenue leakage, reduces denial, and identifies the provider’s trend.
Out of network Negotiation
Our multi-layered balanced strategy dynamically saves the most for out of network claims. To achieve a streamlined approach, our out of network negotiation team insight easily integrates systems into current procedures.
To establish areas of substantial costs and adequate reimbursement, we use unique algorithms and comprehensive supplier databases. Our team works on each insurance plan claim and is working hard to achieve the maximum service reimbursement.
Right Medical Billing Healthcare System Revenue Cycle Management Process
Healthcare Systems Revenue Cycle Management (RCM) is a sophisticated and extensive procedure in United States of America that begins with the patient’s appointment and ends when the healthcare provider receives all payments. As one of the leading healthcare system RCM service providers, we can quickly deliver high-quality billing services through a systemic and efficient Revenue Cycle Management accounting approach. The important steps in our healthcare systems accounting procedure includes:
- Appropriate RCM Software
- Insurance Eligibility and Verification
- Patient pre certification or pre-authorization
- Demographics and Charge Entry
- Co-payments and Deductibles
- Filing claims
- Reimbursement for the Services Rendered
- Manage denials
- Billing & collection services
- Medical appeals
- Refund
RCM Software’s Right Medical Billing Supports
Billing software is an essential component of the revenue cycle management process. Billing and other administrative procedures are notoriously time-consuming and paper-intensive. A modern medical billing software systems enables billers to be as efficient as possible when coding, filing, and tracking claims.
With over past years of experience in the health sector, we have easily understood customers’ needs and provided the services. Our team has the expertise to work on several tools and technologies for healthcare system billing as well as urgent care and emergency rooms billing. We can deal with any major medical billing software, including CollaborateMD, Medisoft, Medical Manager, Docutap-Experity, eClinicalWorks, NextGen, Advanced MD, Kareo, Gorev, Elligence, etc.
Why Choose Right Medical Billing for Healthcare System Billing Services
RMB offers a comprehensive range of Medical Billing Solutions to meet the exclusive needs of your healthcare organization. RMB has proven experience of working with short-term and long-term care facilities ranging from stand-alone hospitals to healthcare systems with multiple facilities and specialty programs. Below are some of the leading hospitals and healthcare systems in Texas, RMB has worked with.
- Altus Health System
- Memorial Hermann Health System
- Kindred Healthcare
- Houston Methodist
- Cornerstone Healthcare
- UTMB Health
When you outsource your healthcare system billing services to Right Medical Billing, you gain an approach to various assets. Some of the important reasons to choose us as your medical billing and coding partner include providing HIPAA compliant billing services and using front-line tools and technologies.
Our experts are available 24/7 to answer your questions while giving timely billing services. We provide affordable and tailored medical billing and coding services.
You can contact us for following comprehensive billing services:
- Entire process of healthcare system revenue cycle management
- Precise and efficient medical billing services
- Improvement in the documentation and administrative task
- Metrics that can help you analyze better
- Workflow integration via application services
- Improving Data’s Analytical Capability
Key Points That Makes Us Best Medical Billing Company
- Our team ensure that your front-end denials are 20% less.
- Reduce manual entry concerns and improve RCM system efficiency.
- Improve the correctness of the fees and collection.
- Out of Network Negotiations.
- Payment posting and refunds adjustment to improve the cash flow.
- Account manager dedicated to all your requirements.
- Provide high quality and error-free billing and collection services.
- We always increased the collection ratio of our clients as a result of faster account receivable process and on time follow up.
- Use the latest technology and tools.
- Offer Services that are easily scalable at all times.
- Use quality control procedures and structured billing processes to ensure error-free billing.