Phyiatric RCM Medical & Dental Billing Services

Phyiatric provides Comprehensive end-to-end Healthcare Revenue Cycle Management Services,

Patient Access - Patient Registration, Insurance Eligibility, and Benefits Verification and check for Authorizations (Pre or Post as per the guidelines based on the treatment covered by Insurance).

Coding and Billing - Medical Records Coding and Auditing, Charge Capture, Clinical Documentation Improvement and HCC Coding Review, Claims Management and Billing, Payment Posting and Reconciliation, A/R Management and Collections, Denials and Appeal Management, Underpayment Analysis and Recovery procedure, 

Pharmacy - Member Enrollment, Benefit Verification, and Prior Authorization

Patient Registration - Our team will enter the patient details into the system by verifying all the eligibility and benefits requirements - Our experienced team will investigate the patient demographic and eligibility details to ensure the claims billing with active policies.

ICD Coding -   Phyiatric certified coders (CPC) to ensure follow the CMS (Medicare and Medicaid) guidelines, Health Insurance, and Client guidelines to bill the claims from the received billing forms as received from clients. Our well-experienced coders will convert the Symptoms written by the provider to ICD coding by using the coding guidelines and coding software. Every coding form will go through the review process to ensure the proper coding is made before hands off to the billing department

Charge Capturing - Our team captures the charge details as per the CPT and ICD coding - Our experienced team will look thoroughly into the billing form enter charges in an order way into the system and submit the claims to the various insurance organizations to get paid on time. Our staff is well trained to submit the claims within the allowed time as per the insurance guidelines.

Payment Posting - Our team performs the Payment posting job by receiving the payments (EOBs) from various insurance organizations and posting them into the respective patient accounts.

AR Follow-up & Denial Management - our AR team will review the denials or rejections statement from the Insurance and Clearinghouse, perform the proper analysis to appeal the denied or Rejected claims, and resubmit the claim to the respective insurance organizations. We will follow the timely billing as per the insurance guidelines—medical billing system physician billing, and medical billing service.

Denial and Rejection Management - Phyiatric has well-trained and experienced team members who have been handling and managing Denials and rejections and also have good strategies to analyze the denials and refile the claims with appropriate information to get the claim paid.