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MediXperts brings you the answer to the increasingly difficult challenge of collecting insurance payments. While you focus on your core competencies and patients, we take care of your insurance claims and patient billing. Medixperts can help you reduce employee count, make your practice more efficient and reduce turn-around time in revenue collections. With our extensive experience, deep domain expertise and in-depth knowledge of the Medical Billing industry, we provide end to end Medical Billing Solutions to our clients, which guarantee high quality service and increased revenue. We recognize our responsibility in ensuring accuracy for the submission of all its clients' charges. We are committed to providing services within compliance standards, in accordance with all existing Federal, State and Payor regulations. MediXperts also assists Third Party Medical Billing companies with Charge Entry, Demographic Entry and Payment Posting Services; and Insurance Payors, MSOs and TPAs with Data Entry of HCFA 1500s and UB-92 forms, thereby saving costs and improving turnaround time and quality. MediXperts Coders are AAPC (American Association of Professional Coders) certified and have a minimum of 4 years hands on experience. They do the coding for the handwritten physician's diagnosis on the charge sheet. The coder determines the code to be used following each patient encounter. An AAPC Coder, is extremely careful while coding for patient records. Utmost attention is given to quality to get reimbursement from the Insurance Company for the services rendered by the physician. Our coders are skilled and provide high quality results within the stipulated period of time for multi-specialty clients like Cardiology, Radiology, Neurology, Infectious Diseases, Internal Medicine, Pathology and Oncology. The coders are proficient with -
MediXperts undertakes Medical Coding Audit for clinics and hospitals. We periodically (monthly / quarterly) review and analyze sample codes, visit notes, procedure reports and claim forms from our clients. We perform an exhaustive audit of the codes, evaluating your coding system and give you a case-by-case analysis of our findings. We identify discrepancies (if any) and suggest appropriate modifications to the codes / coding system to fetch you maximum reimbursement that you deserve. Our medical coding accuracy evaluations are designed to be part of a continuous quality improvement program. It gives our clients' coders the feedback they need to improve their coding system. We also provide training to the coders. To get a Free Coding Accuracy Analysis, write to us along with the copies of a sample of your medical report, and copies of your claims for those cases. Our coder for your specialty will evaluate them and prepare a comparative analysis of your coding. Then, if you are satisfied with our knowledge of your specialty, you can send us your ongoing work. Electronic Claims Submission : In the complete Medical Billing solution, claims submission plays a vital role. We file most of the claims filed electronically and only a few go on paper (depending on the insurance carrier). With our expertise with various medical billing software, we provide a range of options to the client about the Software for Billing. We can use the existing software of the client to file the claims, or the client has the option of chosing the software for their billing. With endeavor to submit all the claims electronically, we provide following advantages -
MediXperts provides professional charge entry services that include daily posting, monitoring and re-submission of denied claims. Our QA executives work closely with other departments to ensure correct and timely filing of your electronic and paper claims and to minimize claims denials. Some of the charge entry functions are –
There are more than 5 billion medical claims filed each year in the United States . Of these, 30% are delayed or denied on first submission. Fifty percent of those denied claims are never resubmitted. The average length of accounts receivable in most medical practices approaches 70 days . Number of times such errors may have resulted in due to inaccurate postings as a result the money realization is lower. Due to time limit imposed by the payors, if the claim is not submitted within a certain time limit, it may not be paid. MediXperts increases billing efficiency by reducing the gap between the DOS (date of service) and DOCE (date of charge entry). By timely submission of claims, MediXperts ensures that the turn around time for a claim is less than 24 hrs . Payment postings are quite critical when it comes to realizing payments. As we work over it, the agents analyze the payments and post them into the Billing Management System. For partial payments, analysis is done and corrective action is taken. Billing errors, insurance underpayments, denials and self-pay bad debt account for nearly 13 percent of a hospital's lost revenue each year. Every provider has the experience of lost revenue and third party payor denials. MediXperts specializes in creating a successful revenue recovery system and the clients get a substantial return on investment. MediXperts Claim Denial executives hold rich experience in the Claims Denial Analysis. They carefully analyze the EOBs and claims to take the necessary actions to recover the due amount. MediXperts emphasize on the speed and accuracy of record management, since this has a direct impact on efficiency, resources and profits. We convert the patient's entire medical and demographic records from the paper format to the electronic media. As specified by HIPAA, records are secure, encrypted and have the facility of e-signatures. Document management fills in the gap between a mere creation of an electronic version of patient records and a complete PRS (Patient Records System) where data can be centrally archived, distributed, and mined in a secured environment. This system enables efficient records management for the patients. The newest technology supports remote coding, indexing and claims processing. The application electronically tracks a patient encounter in a central database from the time the patient enters the system until the final payment is made on their insurance claim. Medixperts' Collection Services Department assists in the collection of insurance and patient due amounts from insurance companies and patients. We have an extensive track record in outstanding A/R and patient collections. Medixperts offers you these advantages –
At MediXperts, regulatory compliance is a culture which is nurtured at all levels and is imbibed by all our associates. This reflects through MediXperts' programs and applications that are 100% HIPAA ( Health Insurance Portability and Accountability Act of 1996) compliant. We have mastered the art of HIPAA compliance at all levels and in all operations of the company. We believe that regulation compliance is an ongoing process and MediXperts' HIPAA compliance emanates from a culture of Continuous Compliance Management Program, which emphasize on HIPAA regulations and applicable guidelines. We undertake consulting assignments for HIPAA readiness. For more information about our HIPAA consulting write to us.
Do you want to minimize your revenue cycle while maximizing your reimbursements? Medixperts helps you transform your revenue cycle and achieve predictable results. We create a successful revenue recovery system and you get a substantial return on investment. The MediXperts team is fully equipped to provide you the best revenue cycle management with expertise in technology, billing, coding, regulatory compliance, electronic transactions, system interfaces, and data security. Our expert Claim Denial executives are willing to walk the extra mile to extract every dollar which is due to you. Medixperts' flexible model of outsourcing results in –
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