Why Infotech Houston Solutions
Revenue Cycle Management?
Revenue cycle management for medical practices has become more complicated than ever. With the ever-changing insurance company policies, government policies, compliance regulations, and healthcare reforms, it has become difficult for physicians and their staff to keep pace. This results in the incorrect or delayed filing of claims and substandard reimbursements or RAC audits, the fee for service to value-based reimbursement. Our billing services can assist you in your efforts to streamline your revenue cycle and receive maximum allowed reimbursements…. saving you valuable time.
Our Complete Medical Billing, Coding System, and Credentialing includes the following:
Patient Registration and Verification
We enter the patient demographic information and verify its accuracy in our dedicated team.
Eligibility and Benefits Verification
We check the benefits and eligibility of the patients before the provider renders service and records it in the Practice Management System.
Coding for diagnosis, services rendered, and appropriate modifiers are verified and set by the certified coder team.
Charge information is entered into the system for medical billing claim generation after a thorough reconciliation from both the provider’s office and Infotech Houston Solutions.
E-claims and paper claims are generated and sent out to payers via a medical billing clearinghouse. Claim receipt acknowledgments are checked and unsent claims are re-filed. Payer responses are checked and processed via the Account Receivable team.
ERAs and EOBs are processed and payments are posted into the system by manually and electronically.
Claims denied on EOBs are corrected and re-filed or appropriately appealed and tracked in a system that should be not repeated in the future.
Monthly billing summaries with collections, billables, and outstanding AR’s will be provided. Client-specific reports are also submitted monthly and/or yearly. You can generate 250+ different reports at any time to see what has been completed & instantly provide a comprehensive picture of your data – all at your fingertips.
We make sure your provider’s record is up to date with all insurance companies and credentialed with every insurance companies.
Clearinghouse or statement mailing
This is included in our services. If you do not require all of the above services we also provide many options for shared services between your practice and Infotech Houston Solutions.
Patient Phone call management
provide a toll-free # to your practice and manage all patient phone calls related to the bill, co-pay or deductible amount.