Frequently Asked Questions

Medical billing is the process of submitting insurance claims and managing payments for healthcare providers.

We provide insurance verification, medical coding, charge entry, claims submission, payment posting, denial management, AR follow-up, credentialing, prior authorization, patient billing, and revenue cycle management.

RCM is the complete financial process from patient registration to final payment collection.

Yes, we provide end-to-end medical billing and revenue cycle management services.

We work with clinics, hospitals, physicians, urgent care centers, laboratories, and specialty practices.

Yes, we support solo providers, small clinics, and large healthcare organizations.

We support cardiology, dermatology, orthopedics, radiology, psychiatry, family medicine, pediatrics, mental health, and many other specialties.

Yes, our services are customized according to specialty and practice requirements.

Yes, our billing services are fully remote and cloud-based.

We focus on claim accuracy, faster reimbursements, reduced denials, transparent reporting, and dedicated support.

Insurance verification confirms patient eligibility, coverage details, copays, deductibles, and benefits before appointments.

It helps reduce claim denials and improves payment accuracy.

Yes, we verify patient insurance before scheduled visits.

Yes, we verify primary and secondary insurance coverage.

We use ICD-10, CPT, and HCPCS coding systems.

Yes, our coding team includes trained and certified medical coders.

We follow payer guidelines, coding updates, and quality review processes.

Yes, incorrect coding is one of the most common reasons for claim denials.

Claims are submitted electronically through secure clearinghouses.

Yes, paper claims can be submitted when required by payers.

Most claims are submitted within 24 to 48 hours after charge entry.

Claim scrubbing is the process of checking claims for errors before submission.

Payment posting records insurance and patient payments into the billing system.

Yes, we process ERAs and EOBs for accurate payment posting.

Yes, we review payer reimbursements and identify underpaid claims.

Denial management involves correcting denied claims and resubmitting them for payment.

Yes, we prepare and submit appeals for denied claims.

Common reasons include coding errors, missing information, eligibility issues, and authorization problems.

Yes, many denied claims can be corrected and successfully reimbursed.

AR follow-up involves tracking unpaid claims and contacting payers for reimbursement updates.

We follow up regularly on unpaid claims and resolve payer issues quickly.

Yes, we provide AR recovery services for old outstanding balances.

Credentialing enrolls healthcare providers with insurance companies and networks.

Yes, we manage CAQH setup and maintenance.

Credentialing timelines vary by payer and can take several weeks to months.

Yes, we track and process recredentialing requirements.

Prior authorization is insurance approval required before certain treatments or procedures.

Yes, we handle imaging, procedures, medication, and specialty treatment authorizations.

Yes, claims may be denied if authorization requirements are not completed.

Yes, we generate and send patient billing statements.

Yes, online payment options can be integrated with billing systems.

Yes, payment plan options can be managed for patients.

Yes, we follow HIPAA regulations to protect patient information.

We use secure systems, encrypted communication, and restricted data access.

Yes, we support internal audits and compliance reviews.

We support multiple EHR and EMR platforms used by healthcare providers.

Yes, we integrate with major practice management systems.

Yes, we provide billing services for telehealth and virtual visits.

Yes, we provide financial reports, denial reports, and revenue analytics.

Pricing may be percentage-based, flat-rate, or customized according to practice needs.

Setup fees depend on project scope and onboarding requirements.

Yes, pricing plans are customized based on practice size and services.

Onboarding typically takes a few days to a few weeks depending on setup complexity.

Yes, we assist with data migration and transition support.

We require provider information, payer details, software access, and practice documentation.

Yes, dedicated account managers are available for communication and support.

Clients can contact support through phone, email, or client portals.

Yes, we schedule regular performance and operational review meetings.