Medical Billing Services
Our full service billing solutions start at verifying benefits, include billing and collections, concluding with clear reporting. Learn more about our services at every stage of the billing process.
Verification of Benefits
Tired of the back and forth with insurance companies? Overwhelmed by clinical insurance jargon? Managed care has a lot of moving parts from appeals to documentation to understanding admission criteria. Failing to do so can delay patient’s access to care and result in the denial of claims. Element Medical Billing can not only streamline benefit verification but maximize the care your patients can receive. More thorough treatment means more patient success stories.
How We Help
- Verify benefit coverage with primary and secondary payers
- Determine the validity of coverage for the desired date of service
- Determine patient’s financial responsibility (copay, coinsurance, deductibles)
- Initiate prior authorization requests and obtain approval for treatment
Utilization Review
No matter how passionate your staff is about helping patients, you won’t get very far without proper funding. Utilization review is the matching of a patient’s needs to an appropriate level of care, otherwise known as a medical necessity. This ensures that your patients get the treatment they need but also serves to justify your business getting reimbursed by insurance companies. Our team has both practical clinical judgment and critical thinking to prevent the misuse or overutilization of facility resources.
How We Help
- Experts in admission and continued-stay criteria
- Advise your staff how to provide proper documentation
- Appeal to insurance companies on your behalf
Billing
Managing insurance claims is our bread and butter. Our team can handle claim submission, tracking, and payment posting, easing the burden on your staff and freeing them to focus on providing a great customer experience. Our team of experts is well-versed in the language of medical coding, which both expedites the process and reduces the number of errors. We also follow up with insurance companies on your behalf to make sure your patients get the treatment they need and that your team gets paid.
Collections
Don’t waste your time with a third-party debt collections agency unfamiliar with medical practices. We run the full gamut of medical billing which also includes healthcare debt recovery–an essential aspect of keeping a healthcare provider functioning. We are proactive in recognizing overdue accounts in order to prevent any financial strain from falling on your business. We keep your accounts receivable healthy and your revenue cycle prosperous.
How We Help
- Industry-specific recovery plans suitable for any sized facility/practice
- US-based staff
- Staff follows HIPPA and HITECH guidelines
- An emphasis on follow-up and denial management
Reporting
We believe transparency is power. Being able to view cash flows, see payment and claim statuses is of the utmost importance in order for your business to thrive. We look for patterns, strengths, and weaknesses to enable businesses to be agile in today’s modern and ever-changing healthcare industry.
How We Help
All client receive regular reporting that includes:
- Open accounts
- New accounts
- Recently closed accounts
- Monthly & annual revenue
- More!
