We are familiar with the challenges that you face as a hospital: legacy systems, inability to work low dollar balances, self pay accounts not sufficiently worked, aged AR, shortage of qualified and skilled personnel etc.
BillingParadise will help you address all of these challenges very effectively.
Our solutions are designed to improve your cash flows, reduce your operating costs and lower your bad debt write offs, while maintaining positive patient and community relations.
• Not worth keeping Billing clerk in house for the low volume of claims processing work
• Low collections and Huge AR Backlogs?
• Your in-house billing assistants moved to other job and left you in lurch?
• Rising costs for processing services
• Difficult to keep up with ever changing claims processing procedures?
Just send us a message in the form below with any questions you may have
If you’re struggling to get more revenue, the answer might just lie in these FREE reports
• Lack of trained and qualified resources?
• Distractions from pursuing your core business objectives
• Ever increasing need for IT capital expenditures
• Customer dissatisfaction
• Lack of follow ups with the insurance (Credentials, payments etc..)
• Low dollar value claims are not followed – Time Crunch!
• Payment delay for the visiting physicians.
• Delay in obtaining Authorization number.
• Expert resource with best process
• Better Process
• Faster TAT
• Significant cost savings up to 30-40 %
• 99% Accuracy
• Increased Cash flow - Denial Management and AR Follow-up.
• Experienced staffs with regards to the insurance policies will follow the claims and for credentials.
• Team allotment for the specialty vice follow ups.
• An office manager at your place manages the entire process with our staffs.
We will take care of your entire Healthcare Claims processing activities.
1. We will dedicate a Phone number for your Patients to call our office customer service 24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super bills
4. Save about 40-50% of your existing cost or owning billing staff
5. Follow up with insurance carriers for all submitted claims to ensure proper payment of claims in a timely manner
6. Patient Insurance verification to minimize claims rejection*
7. Weekly production report and monthly AR aging report
8. Free patient billing and invoicing for three times
9. 90 Day payment guarantee for all Primary claims of MCR and other Commercial Carriers MCR Blue cross excludes Medicaid and Trust Funds and Patient balance
* If you signup online Appointment scheduling services with us what we do the eligibility of the Pt before the appointment and will notify your office the status.
1. Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
2. Patient Demographics and charges will be keyed into Online/ offline Medical claims process software and claims will be submitted electronically.
3. EOB- Explanation of Benefits will be updated into billing software on a daily basis.
4. AR aging reports will be carefully processed and sent to your appraisal.
5. Insurance calling will be done on claims based on the AR report.
6. Reports on the work done will be sent on daily, weekly and monthly basis.
Step 1: Collecting / Checking / Scanning of required documents to Our Office
Step 2: Required data i.e. Patient Demographics, Insurance Information, Super bill, Check copies and EOB copies. Charge Entry will be updated in our software. Expected TAT of this process is 36 Hrs.
Step 3: Payment information's will be updated to individual claims account on daily basis based on daily document source – Check copies and Explanation of Benefits.
Step 4: Unpaid / Denied / Rejected claims will be Analyzed, Accounted and Act upon by the AR crew which will also call various Insurance Companies for follow-up..
Step 5: Through our Office / Client we will route submission of secondary and tertiary claims, claims with attachments, patient bills and other documents to the Insurance companies
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%
Find resources to help you run a more successful practice
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Insurer specific collection breakdowns. Know payment TAT of every insurer
Track appointment counts. Customization and integration options. Reduce your no show percentage
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Net Collections by DOS and several other financial KPIs no smart practice can do without!
5 Important denial management metrics that your tool should track. Figure out preventable denials
Areas where group practices can minimize cost. How to manage your financial challenges
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Inexperienced staff handling the billing department. Most claims went unpaid
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
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A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
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The Practice Profitability KPI template is a must-download template that will give you a clear picture of your practice’s key performance indicators.
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Protect your healthcare organization from RAC audits. This free template provides state-specific contact details of RAC contractors. Download.
Evaluation and Management Tool designed by BillingParadise helps providers come up with the code that best represents the leve...
The Incident to self-service tool designed by BillingParadise helps providers understand the CMS Part-B incident...
OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
Revenuecycle Workflow Transparency and Efficiency Management...
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment....
Industry experts Kim Dues and Holly Cassano share useful information and shed the much needed light on MACRA and MIPs...
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment. In this webinar they discuss....
Orthopedic surgeons are underpaid. This free webinar on contract negotiation strategies to improve reimbursement for ortho surgeons will help....
Know How BillingParadise increased 60% revenue for an OB/GYN Center
Find resources to help you run a more successful practice
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Insurer specific collection breakdowns. Know payment TAT of every insurer
Track appointment counts. Customization and integration options. Reduce your no show percentage
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Net Collections by DOS and several other financial KPIs no smart practice can do without!
5 Important denial management metrics that your tool should track. Figure out preventable denials
Areas where group practices can minimize cost. How to manage your financial challenges
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Inexperienced staff handling the billing department. Most claims went unpaid
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
Anesthesiology revenue cycle and contract management is incredibly complex. See how..
Revamping the AR Process of Texas Healthcare System..
The Practice Profitability KPI template is a must-download template that will give you a clear picture of your practice’s key performance indicators.
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Protect your healthcare organization from RAC audits. This free template provides state-specific contact details of RAC contractors. Download.
Evaluation and Management Tool designed by BillingParadise helps providers come up with the code that best represents the leve...
The Incident to self-service tool designed by BillingParadise helps providers understand the CMS Part-B incident...
OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
Revenuecycle Workflow Transparency and Efficiency Management...
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment....
Industry experts Kim Dues and Holly Cassano share useful information and shed the much needed light on MACRA and MIPs...
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment. In this webinar they discuss....
Orthopedic surgeons are underpaid. This free webinar on contract negotiation strategies to improve reimbursement for ortho surgeons will help....
Know How BillingParadise increased 60% revenue for an OB/GYN Center
Get paid Three times faster with our 24/7 medical billing services.
Work with medical billers who understand your EHR's billing process backwards and forwards
Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.