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Medsoft Billing Services

Many practices face cashflow issues because they struggle to collect even 50% of the revenue owed to them in the first 90 days after a claim is filed. Statistically, after 90 days most medical bills go unpaid, even when escalated to delinquency status. Medsoft Billing revolutionizes medical billing processes and procedures to help you receive more money up front and within 90 days of the filed claim.

SOLUTIONS FOR IMPROVING YOUR CASHFLOW

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PAYOR ENROLLMENT

Navigating the complicated process of on-boarding new providers and facilities with insurance companies can be a hassle. If not executed properly, these contracts can cause a delay in insurance payments to your practice. Using the latest technology and tools, Medsoft Billing can handle your payor enrollment process in a timely and accurate manner. We are able to save your team from the hassle and potential revenue loss or delays.

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CREDENTIALING

Coordinating all of the necessary steps of credentialing your providers with new medical facilities and their payors can be a cumbersome process. Medsoft Billing has a dedicated team of individuals to handle all of your credentialing needs. We provide you with an affordable solution to credentialing your new providers with hospitals and ensuring they are added to new and existing insurance contracts. This makes Medsoft Billing your one-stop-shop for all of your RCM needs.

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VERIFICATION

The insurance verification process is a vital piece in a practices ability to collect all the money owed to them for their patient services. Medsoft Billing takes the responsibility off of the front office staff and places it into the hands of our dedicated verification’s team. These individuals are well versed in the policies and regulations with each payor. We verify your patient’s benefit coverage prior to any services being rendered. We then communicate to your patients on their portion of the medical expense so there are no surprises on the day or their appointment.

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AUTHORIZATION

Often times insurance payors require your patients to have insurance authorizations prior to any services or procedures are performed. With Medsoft Billing’s full suite of RCM services, we ensure that your patients are getting the prior auth that may be needed for their appointment at your practice. We review patient demographics in conjunction with scheduled procedures and determine if prior authorization is required. If the authorization is required, we request it directly from the payors so you don’t have to.

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PATIENT ESTIMATE

Are your patients aware of what their services will cost them prior to their visit? With Medsoft Billing’s RCM services, we have a dedicated team focused on providing patient estimates for your practice. We examine each patient’s benefits and insurance information to estimate the total cost of care for them. This allows the practice and it’s providers to collect some of the money before services are ended rendered – making it more likely that you’ll receive patient payments.

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MEDICAL BILLING

Medsoft Billing understands how time consuming and complex medical billing can be for a practice. Our dedicated team of medical billers are responsible for creating claims and translating them into reimbursements from the insurance carriers and patients.

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MEDICAL CODING

Medsoft Billing knows how important it is to send out accurate claims to patients and their insurance carriers. Our team of certified medical coders translate the services, diagnosis, and procedures of the practice into the ICD-10 codes that are required for proper reimbursement to the practice for the services rendered. Those codes are then sent to our medical billers who focus on capturing the highest amount of reimbursement possible for the practice.

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PAYMENTS

Medsoft Billing will help you collect more payments up front through out collections team. Our revenue recover team works diligently on processing patient payments and ensuring the highest level of reimbursement from all payors. We make sure to follow up and collect on any outstanding balances owed to the practice. Our process includes generating patient statements, setting up payment plans, monitoring patient accounts for timely payments, and answering all patient inquires regarding account balances.

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PAYMENT POSTING

Once payments are received, we quickly post the payments on your account so you have up-to-date information. Insurance payments are reviewed in detail to ensure accurate reimbursement has been received according to our clients’ contracted rates. Any open claims are routed to the corresponding departments for further review and closure.

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