Comprehensive Hospital Billing Services by Right Medical Billing
Right Medical Billing offers professional and hassle-free hospital billing services designed to eliminate costly errors and expedite payments, catering to the unique needs of health organizations. Outsourcing your hospital billing services to us can help streamline your billing and collection processes, significantly reducing operational costs and enhancing your financial health.
Our Hospital Billing Services
We provide a full spectrum of hospital billing services, which can be customized to meet specific requirements. Our services include:
Insurance Eligibility Verification Services
- Verify patient eligibility for hospital benefits under their insurance policy.
- Ensure patient plans have necessary pre-authorizations or referrals.
- Calculate deductible amounts and patient co-payments to enhance cash flow and reimbursements.
Demographics & Charge Entry Services
- Accurately enter patient demographics and charges from FaceSheets into the system.
- Ensure high-quality, error-free data entry to prevent billing issues.
Hospital Billing & Analysis
- Review multiple sources in patient files (doctor’s transcription, diagnostic reports, imaging reports) to verify services performed and assign appropriate codes.
- Prevent claim denials, underpayments, and disrupted workflows due to incorrect code submission.
AR Follow-up Services
- Persistently follow up on unpaid hospital claims to minimize AR days.
- Ensure denied and underpaid claims are appealed promptly for timely processing and reimbursement.
Hospital Collection Services & Denial Analysis
- Track and address claim denials to prevent significant financial losses.
- Correct errors and resubmit denied claims within the timely filing limit.
- Analyze denial reasons to improve processes and reduce future denials.
Payment Posting
- Recognize payer issues through payment posting.
- Enter payment details accurately into the system and update patient accounts promptly.
Provider Credentialing
- Facilitate faster payment setup through ERA, improve referrals, mitigate revenue leakage, and reduce denial rates.
Out of Network Negotiation
- Use unique algorithms and comprehensive supplier databases to maximize service reimbursement for out-of-network claims.
Hospital Revenue Cycle Management Process
Our hospital revenue cycle management (RCM) process is comprehensive and efficient, ensuring high-quality billing services from the patient’s appointment to the final payment. The key steps include:
- 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 Services Rendered
- Denial Management
- Hospital Billing & Collection Services
- Medical Appeals
- Refund Management
Supported RCM Software
We support a wide range of medical billing software systems, ensuring efficient coding, filing, and tracking of claims without any downtime or additional training. Our team is proficient in using:
- CollaborateMD
- Medisoft
- Medical Manager
- Docutap-Experity
- eClinicalWorks
- NextGen
- Advanced MD
- Kareo
- Gorev
- Elligence
Why Choose Right Medical Billing for Hospital Billing Services
Choosing Right Medical Billing ensures you benefit from our extensive experience and tailored services. Key advantages include:
- Reduced Front-End Denials: Decrease front-end denials by 20%.
- Enhanced RCM System Efficiency: Reduce manual entry concerns and improve system efficiency.
- Accurate Fees and Collections: Improve the accuracy of fees and collections.
- Effective Out of Network Negotiations: Maximize service reimbursement.
- Improved Cash Flow: Enhance cash flow through efficient payment posting and refund adjustments.
- Dedicated Account Management: Assign a dedicated account manager for all your requirements.
- High-Quality Services: Ensure high-quality, error-free billing and collection services.
- Increased Collection Ratios: Boost collection ratios through a faster accounts receivable process and timely follow-up.
- Latest Technology and Tools: Utilize the latest technology and tools for efficient billing.
- Scalable Services: Offer easily scalable services.
- Quality Control Procedures: Employ structured billing processes for error-free billing.
Contact Us
Reach out to Right Medical Billing to leverage our comprehensive hospital billing services, improve your financial health, and streamline your revenue cycle management. Our experts are available 24/7 to provide affordable and tailored medical billing and coding services.