San Diego Medical Billing is an industry leader in Revenue Cycle Management. We offer professional medical billing and coding services to healthcare providers throughout California and beyond. Superior customer service enables us to meet the specific needs of each client.
Experienced in multiple specialties, we help clients increase efficiency leading to maximized revenue.
It's never been more challenging to get paid by insurance companies. It's also become increasingly difficult to employ and retain staff to help your business succeed. The success and longevity of your medical practice or facility will depend on your revenue cycle management company.
Outsourcing revenue cycle management services is the most cost-effective solution to obtaining the professional guidance and expertise every healthcare provider requires.
Services...
- Medical Billing
- CPT and ICD-10-CM Coding (AAPC CPC Certified)
- EHR/EMR Integration
- A/R Management
- Contracting/Credentialing
- Consulting
- Appeals
- Patient Billing
- Patient Portal
- Cloud-based Practice Management Software
EHR/EMR Integration...
We work with a long list of vendors to provide EHR/EMR integration for our clients. We link directly to your practice management software to streamline the medical billing process for maximum efficiency and profitability. We provide access for your staff to our software to ensure secure real-time exchange of protected health information. We offer a Patient Portal, a convenient option for patients to pay their bills online and increase collections. |
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Revenue Cycle Management...
Revenue Cycle Management comprises all the activities required that lead to payment for services rendered, from patient registration to collections. A reliable revenue stream is the lifeline of any healthcare provider. Physicians often rely on staff without the proper experience and knowledge to develop procedures which are highly ineffective and result in lost revenue. We work with providers to find solutions that are efficient and effective. We don't use the concept of trial and error, we know what works.
Obtaining reimbursement from payers has becoming increasingly difficult over the years. Insurers aggressively challenge and deny claims on a regular basis resulting in nonpayment. We have extensive experience with commercial and government payers to ensure prompt payment for your practice to help maximize revenue. Don't let poor A/R Management jeopardize the profitability of your hard work.
Patient interaction with your staff is the first step in the revenue cycle and arguably the most important. Obtaining accurate insurance and demographic information is a necessity. We maintain a consistent and open line of communication with your staff because we understand the importance of this relationship.
We treat your patients in a courteous manner and with the same professionalism you require of your own staff, We're here to provide explanations and timely resolution to any questions your patients have to ensure their complete satisfaction.
Obtaining reimbursement from payers has becoming increasingly difficult over the years. Insurers aggressively challenge and deny claims on a regular basis resulting in nonpayment. We have extensive experience with commercial and government payers to ensure prompt payment for your practice to help maximize revenue. Don't let poor A/R Management jeopardize the profitability of your hard work.
Patient interaction with your staff is the first step in the revenue cycle and arguably the most important. Obtaining accurate insurance and demographic information is a necessity. We maintain a consistent and open line of communication with your staff because we understand the importance of this relationship.
We treat your patients in a courteous manner and with the same professionalism you require of your own staff, We're here to provide explanations and timely resolution to any questions your patients have to ensure their complete satisfaction.
Why do Insurance Companies deny medical claims?
It's systematic. Insurance companies create complex and often confusing guidelines for physicians and their staff to follow. We continue to see a significant increase in prepayment reviews and claim denials. Insurers know most denied claims will never be challenged or appealed which translates to big savings for them and lost revenue for the healthcare provider.
Only 10% of denied claims are appealed. Why? It's labor intensive and most practices lack personnel with the knowledge to overturn a denied claim and get paid. In addition, insurance companies are experts in making the appeals process lengthy and creating delays.
The longer a claim ages the less likely the healthcare provider is to get paid.
SOLUTION,
Outsource to professionals!