Best Medical Billing Service Costa Mesa Near Me

4worldlovers: Comprehensive Insurance Billing Solutions and Systems Training for Behavioral Health Providers

4worldlovers: Patient documents or super bill or EMRs transmitted by client are fetched

Diagnosis, procedure codes and modifiers are applied as per client’s description

Certain codes are modified to meet the payer specific requirement or specification

Completed claims go through a secondary assessment to ensure accuracy before submission

Depending upon the ease of the providers, some providers manually write codes on a super bill (A special sheet that consists of the list of services provided by a provider, the correct code is checked at the time of the appointment) or just write descriptions about the diagnosis and treatment, which are later converted into codes by specialized coders. In the later case, FCS Medical Billing provides comprehensive and reliable medical billing and coding services, which assures that claims get paid easily and in a hassle free manner.

Experts with ease of working on wide range of billing software

Follow pre-defined account specific rules for charge entry as specified by client

Involves identification and analysis of the claims listed on the A/R Aging Report. The team will review the provider's adjustment policy from which we will identify which claims need to be adjusted off.

Experienced medical A/R analysts initiate this phase by identifying the various issues for claims that are marked as uncollectible or for claims where the carrier has not paid according to its contracted rate with providers.

Based on the analysis and our team's findings, the claims that are identified to be within the filing limit of the carrier are re-filed after verifying all the necessary billing information is correct such as claims processing address and other medical billing rules.

Claims that have exceeded the filing limit of the carrier as well as the claims that appear to be underpaid by the carrier are appealed with the necessary supporting documents. Appeal procedures vary widely depending on the plan, carrier and state. These procedures are collected and applied on claims that are being appealed.

Payment posting is yet another crucial process of billing that is laborious and time consuming. A practice might receive hundreds to thousands of EOBs or ERAs on a daily basis.These payments should be efficiently posted into the system so that the account receivables report shows prompt financial status of a practice at any given time.

Paper EOBs can be scanned and mailed; while ERAs will be retrieved directly from the application.

Payment details are posted into the practice management application using the secure ID and password provided through remote desktop connection.

Denial codes and special scenarios are explained briefly in system notes for denial follow up.

Patient’s responsibility is applied to patient’s account, or the balance is billed to secondary or tertiary payer as applicable.

Quality assurance team tallies the total payment details for the date and ensures all the figures are precise and 100% accurate.

Printed EOBs are shredded or destroyed under supervision and client is notified about the update.

Our team of physician practice management consultant can evaluate your financial operation and provide you with a customized financial system including:

We help you establish fee structures, implement a billing system and develop purchasing controls. Our medical billing company provides the technical expertise and business acumen to help you understand the current status of your physician practice and plan for its future growth.

FCS Medical Billing offers a complete front desk support for health care providers that will encompass each and every task they want us to do. FCS can help patients in confirming their appointments, updating their insurance details, rescheduling appointments, getting a new appointment, refilling medications, forwarding referrals or cancelling appointments.

All incoming calls from the practice can be forwarded to this number

4worldlovers:
Focusing on your business needs so you can focus on your patient needs.

We are a premier billing, coding and collections recourse with clients throughout California. We’re here to help you increase revenue, reduce rejection errors and to aggressively collect outstanding patient and insurance balances on your behalf.

Call us today and ask how you can receive a free month of service.