Reliable A/R Cycle Services
Claims Review
At MeDx Billing, LLC we compile and review all patient and charge data. Claims billed versus claims paid are balanced, and the medical claims software is used to 'scrub' claims for errors and omissions. MeDx Billing performs thousands of checks, including CPT/ICD validations, modifier checks, demographic comparisons, and payer-specific edits. The claims review process ensures that practice billing data is accurately captured and that claims are clean before submission for payment. Clean claims significantly increase the payment rate, helping to maximize the amount collected and reduce accounts receivable.
Claim Submission
Once the claims are reviewed and audited, they are transmitted to the various payers for reimbursement. MeDx Billing, LLC can electronically send claims to thousands of payers nationwide. For those payers that cannot receive electronic claims, MeDx Billing, LLC will generate and mail paper claims. After submission, claims receive an additional level of 'scrubbing' by our clearinghouse. Edits and errors are relayed back to MeDx Billing for correction and as our client you will always be made aware.
Payment Posting
Payments are received either in hard copy or via Electronic Remittance Advice (ERA) directly to your bank account. Once payments are received, it is reviewed, and the line item is posted into the practice management system.
Claim Tracking
Once payments have been posted into the practice management system, they are run through our payer-specific rules software, which aggressively detects unpaid or miss-adjudicated claims.
Once an unpaid or miss-adjudicated claim is flagged, it is brought to our attention for further investigation and active follow-up.
Denial Management and Follow-Up
Insurance providers pay only 70% of the average medical practice's insurance claims. While a practice may submit a perfectly clean claim to a payer, there is no guarantee that it will get paid or, for that matter, get paid accurately.
It is no secret that payers continue to impose increasingly complex rules, systems, and loopholes with the single goal of limiting payments. This frequently means that practices remain unpaid on the valuable service provided to patients. MeDx Billing, LLC's incentive-based fee structure ensures that we work hard to make sure nothing gets left behind. Once an outstanding claim has been identified as past due, the MeDx team will alert you. We then review the history and follow up on the claim accordingly and resubmit the claim.
To learn more about us and our complete medical billing services, call our experienced and helpful team at 833-400-MeDx today.
Address:
Cooper City, FL, and Nationwide Service
Business Hours:
Cooper City and Davie, FL Chamber of Commerce
