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Medical Billing Services- Process Map

Our 10 step workflow that leaves no stone unturned!

At Billing Paradise we don’t leave anything to chance. We have seven separate teams, who work 24x7, to ensure the billing process works with clockwork precision.

Step 1: We receive superbills, transcripts, patient face sheets, recordings or any other source that contains billing information, from the provider

Step 2: Our insurance verification team, verifies the scanned documents and perform eligibility checks

Step 3: We receive and cross check patient details such as ssn, guarantor details, insurance provider data etc in the patient demographic entry stage

Step 4: Our AAPC certified coders assign ICD and CPT codes and code to the highest level of specificity

Step 5: In the charge entry process, insurance and medical details are entered and we assign appropriate charges against each code

Step 6:   Our quality assurance team scrubs each claim thoroughly and a 3 tier quality check is performed

Step 7: The completed paper or electronic claims are transmitted to the insurer

Step 8: Our ar calling team follows up on all the claims and we let you know the status of your claims within 48 hours

Step 9: The payment posting team enters payment information and details about EOB

Step 10: Our expert denial management team works on your unpaid claims and performs ar    follow up relentlessly till the check reaches your table.

For emr, ehr and pms users

1. We access your emr or pms through a proxy service using VPN connectivity to obtain superbills. Or if access to your pms is provided, work directly with your system.

2. We assign codes and enter demographic details into your practice management system.

3. Our quality assurance experts scrub all claims thoroughly.

4. After completing the claims auditing process claims are electronically transmitted

5. Payment and eob details are entered in your practice management system

6. We follow up on all claims and post status reports in your pms regularly

7. Denied claims are corrected and resubmitted immediately.

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