The moment appointment is fixed in the EMR system; our team processes the verification of insurance details within 24 Hours via web or calling. This makes easier for the front desk to collect the copays and deductible shares as the next day appointment details are already verified. Our EMR has the automated insurance verification feature through which even front desk at provider’s office can do the eligibility checking for non-scheduled patient. Generally, provider lose 1% of their annual income in form of patient’s eligibility was not verified. Our billing system reduces this risk in real time.

After entering the CPT and ICD codes from the medical transcripts or super bills (as the case may be), our charge entry team checks for the compatibility of the diagnosis and procedures codes and LMRP match, to ensure submission of a clean claim to insurance carriers.

We have implemented three layers of quality process before submission of claims that ensures 100% clean claims submission first time.

• Manual re-check by Charge entry team

• Random Quality Audit using statistical data

• Claim Scrubber by billing software

A team of highly skilled and analytical staff enables the timely and accurate posting of all payments from Explanation of benefits (EOB), correspondence and contractual adjustments, allowing for the efficient use of AR and follow-up staff. We also balance the amount deposited by the Doctor using deposit slips with the ERA and check posted in the PMS, so there will be no confusion on the balancing of the accounts.

Our highly skilled analysis team works on all the denials received from various payors within 24 hours and resubmits the claims back to insurances companies. MDCP team is specially trained to recover the collectibles from

• Worker’s compensation

• Medicare

• Medicaid

• Attorneys