You should have a good understanding of medical coding by now. However, we still have a lot of questions concerning what those codes are utilized for. While diagnosis and procedure codes can be used to track disease spread or the effectiveness of a procedure, their primary purpose in the United States is in the reimbursement process. To put it another way, codes assist us in billing accurately and efficiently.
While going to the doctor may appear to be a one-on-one interaction, it is part of a big, complex information and payment system. While the insured patient may only interact with one person or healthcare provider, the check-up is part of a three-party system.
- The patient is the first party.
- The healthcare provider is the second party.
- Hospitals, physicians, physical therapists, emergency rooms, outpatient facilities, and any other location where medical services are provided are all considered providers.
- The insurance company, or payer, is the third and final party.
Apex Consultant is a leading IT Consultants Company also offering the services of a professional medical billing company with the best Medical Billing Solutions you need. Claims creation, quick submission, aggressive follow-up and management of denials and appeals, payment posting, and reporting are all handled by Apex Consultant's knowledgeable staff. If you are a multi-specialty group or a solo practice, our medical billing services & team have the advanced technology and operational excellence to take your billing operations to the next level.
By constantly updating our rules engine a knowledge base with more than 4 million rules that automatically detects claim issues before submission.
Apex Consultant stays ahead of the game.
As a result, 96% of our claims are accepted and paid on the first try, allowing you to collect funds much more quickly. With Apex Consultant expert medical billing Services You will be able to collect more quickly because the claim is more likely to be accepted and paid on the first try.
Aggressive Follow-up:
Claims creation, quick submission, aggressive follow-up and management of denials and appeals, payment posting, and reporting are all handled by our knowledgeable staff.
Billing Operations:
If you are a multi-specialty group or a solo practice, our team has the advanced technology and operational excellence to take your billing operations to the next level.
CureBilling service:
APEX experts handle denials and add a new rule to our database so that the denial will never happen again for a Cure Billing service provider.
APEX Consultant experts handle denials and add a new rule to our database so that the denial will never happen again for a Medical Billing services provider.
- Inquiry into Fee Schedules
- Checking to Make Sure You Qualify
- EDI, ERA, and provider enrollment assistance
- Claims Made via Both Electronic and Paper Means Management of Submission Receivables
- Insurance that is not included in the primary policy.
- Recovery of Uncollectible Debts
- Access to All Specialties for Referral and Authorization Alert Charge Entry
- Payments made by insurance companies and by patients
- Comprehensive Coverage Inquiry from the Patient Processing and mailing.
- Management and Review of Denials
- A Reconsideration of All Rejected or Underpaid Claims
- Reports from the Executive Suite
Cost-effective Solution:
A cost-effective, all-encompassing solution is now possible thanks to apex consultant technological advances, large-scale economies of scale, and process automation. This eliminates the need for your staff to be trained and retrained to handle complex billing queries that can harm your bottom line the hiring expert billers. Our Medical Billing solutions reduce the burden on your staff while allowing you to collect more money from patients and insurance companies.
Real-time Verification:
The eligibility for check-in insurance and benefits is validated automatically in advance using real-time verification. On the scheduler, you can see the most recent balance information for each patient. To guarantee payment in full at the time of service, the system also prompts for copay collection. Set up a payment plan if needed, or accept self-pay and copay via credit card or other methods of payment.
More power, More cash:
Apex Consultant Medical Billing Service is a comprehensive revenue cycle management solution for over 32 specialties. Our knowledgeable staff will handle all aspects of your billing, including claim generation, quick submission, proactive follow-up, denial management, appeals, payment posting, and reporting.
Whether you are a multi-specialty group or a solo practice, our team has years of medical billing experience and is equipped with innovative technology and operational excellence to move your billing operations forward.
