Medical Billing is our essential proficiency and we expeditiously manage all of your billing requirements. Our medical billing professionals have more than a decade of years of expertise with all key insurance and healthcare areas. KSI provides you with the services of one of the highest medical billing companies to utilize less resources for your job.
With KSI’s Medical Billing Outsourcing services will include the patients list, a duplicate of the insurance card and important details, received by us via email, fax or secure FTP. Our medical billing professional calls up the insurance company before the appointment. Pre-certification is finished for specific lab research and tests, diagnostic assessments and surgeries. These details are then sent to the hospital or clinic in the required format.
The medical billing professionals enter the patient's demographic details like name, date of birth, address, insurance details, medical record, and guarantor details provided by the patients at the time of their visit. For registered patients, we have a tendency to validate these details and necessary changes are carried out as per the patient records on the billing management system.
Our AAPC certified coders work in accordance to CPT codes and ICD-10 Coding compliance. You have the option to send us super bills with diagnostic transcripts with or without ICD and CPT codes. If codes are present on the super bill, they get thoroughly validated by our coding team obligatorily to forestall any 'up-coding' or 'down-coding' resulting in no denials.
The fee schedules are pre-loaded into the billing management system. CPT and ICD-10 codes are entered into the system. The billing professionals make sure that all details are provided within the claim and prepared to be filed.
These claims are submitted electronically via the billing management system. Apparently, we also process paper claims as well. After an intensive quality check, finalized by our senior billing manager the claims are then submitted. The denial reports received from the financial organization are analysed and the necessary changes are completed and resubmitted.
Scanned EOBs and checks are sent to our team and all payments are entered into the system. The amounts from EOBs/checks and amounts entered within the system are settled on a daily basis. A daily log is updated with these information.
All claims within the system are examined and priorities are set. Starts with the claims that are near to their filing limits, and then worked down according to the age of the claims. Periodic follow-ups are carried out to receive information of each and every claim submitted to the insurance company.
Analysis of denials and partial payments are completed by our senior medical billing professionals. Payers, patients, vendors, facilities and the other participants are referred to as to follow-up on denied, underpaid, unfinished and the other improperly processed claims and therefore the action is documented within the system. If approved by the client, our agents will call the patients to get the data required for billing like ID# and to update the co-ordination of benefits with their insurance firms. Secondary paper claims are administered and sent to the clients workplace for submission.