Professional Medical Billing services

Today, numerous medical practice groups, including private practices, group practices, physicians, and non-physicians, face different challenges and financial crises due to ever-changing procedures and policies in the healthcare industry for billing purposes. Coding systems in healthcare billing are complex, and frequent updates occur to reflect advancements in medical terminology, procedures, and technology. Mistakes in coding can trigger audits by insurers or government agencies, potentially leading to penalties for physicians if inaccuracies are detected. Moreover, many medical providers neglect to regularly update their staff's credentials and provide training on the latest advancements. This creates vulnerabilities even though understanding digital documentation is crucial to efficient medical billing.

Another problem is that physicians lack the time and expertise to navigate the complexities effectively to handle authorization and claim follow-up; hence, poor claim tracking is most common throughout the revenue cycle managemet. The impact of these challenges extends beyond financial losses, affecting the overall viability and sustainability of healthcare practices. Without proper monitoring, errors can go unnoticed, resulting in delayed or reduced reimbursements.

Outsourcing medical billing for physicians to an experienced billing firm like MedsIT Nexus is considered one of the best solutions to navigate the issues, and more and more healthcare practitioners are receiving its benefits regarding better RCM services.

Partner with experts in the healthcare industry!

Are you a healthcare practitioner who dedicates more time to patient care and has less time to deal with the complexities of financial services? MedsIT Nexus, a medical reimbursement management company, helps restore your profitability and boosts your reputation. With a proven track record of over ten years in debt collection services, we are experts in streamlining the revenue cycle from independent fee-for-service physicians to private practices across the USA using our billing solutions.

Adhering to compliance rules is our utmost priority; therefore, MedsIT Nexus caters to physical, technological, and administrative security protocols to appraise workforce security and focus on encryption and decryption while dealing with patient health information. Furthermore, our platform offers its team members comprehensive training on OIG security programs and HIPAA-compliant documentation, coding, and reimbursement protocols, hence eliminating the risks and improving compliance protocols. To meet the stringent HIPAA guidelines, we have assigned a medical compliance officer who ensures comprehensive compliance control, support processes, compliance training, and auditing to protect PHI and safely dispose of it.

Our RCM team utilizes medical billing software and solutions, the expertise and skills of certified billers and coders, KPIs, and auditors who conduct auditing to eliminate inefficiencies and keep you ahead of the curve. MedsIT Nexus facilitates easy integration with your existing EHR, EMR, and practice management solutions to reduce workflow disruption.

When you outsource professional billing with MedsIT Mexus, a top-ranking medical billing company, we communicate openly with your patients at all times to inform them about their payment responsibility and give a statement that contains all the details and pricing of the services; hence, patients trust you more about their payment which means a better patient experience. Moreover, when we handle your outpatient and ambulatory billing and all its complexities, you will feel less burdened and have all that time you devote to streamline revenue. This way, you will spend more time with your patient and thus have a trustworthy patient experience, automatically increasing your financial health.

Whether you are a physical therapist, independent physician, or chiropractor, MedsIT Nexus is operational for you in different states of the USA, such as California, Texas, and Florida. Our representatives are ready to assist you 24/7 in case of any confusion.

Our professional healthcare billing services entail

Standardized coding: CPT (E/M) codes and ICD codes are implemented by our professional coding, and our certified coders are adept in accurate coding according to guidelines set by the WHO, AAPC, AHIMA, and AMA, so serving updated professional coding services on your desk.

On-time claim management services: Let us professionally deal with the challenging process of submitting your claims to Medicare, Medicaid, or your preferred commercial payer through our experienced team that ensures that every claim is accurately prepared and timely submitted, minimizing the ratio of claim denials. For professional claims, claim form CMS-1500 is used; however, we also use its digital version 837-P to send claims electronically if the insurer demands it. Denied claims are no longer a headache for physicians with MedsIT Nexus because our team proactively works to resolve any issues, appealing denials and navigating complex insurance protocols to ensure you receive the payment you deserve.

Auditing: Without auditing, the claim denial rate increases, creating an obstacle to good financial performance. With our service, you will experience hundreds of audits and billing fraud prosecutions. Our prospective and retrospective internal and external audits and random audits eliminate upcoding, downcoding, unbundling, fake bills, and documentation errors using our auditing software.

Negotiation services: Many healthcare practitioners sign insurers' agreements without negotiating the contract for an optimized rate, leading to unfavorable contracts. Our billing management extends beyond traditional billing services. It excels in negotiating optimal reimbursement rates from government programs, managed care networks, and private insurers through our skilled negotiators to secure favorable terms.

Payment collection and posting: Maintaining account receivables is the key to success. Thus, MedsIT Nexus’ AR specialists are dedicated to working on your outstanding claim to pay you for what you deserve by prioritizing important claims and following up on each claim. Our unhindered payment processing system is tailored to send the payments directly into our partner's bank lockbox while ensuring privacy to build a trusting relationship.

Tailored reporting schedule: Data is the backbone of informed decision-making; therefore, our expert data analysis services provide all the information about your financial aspects. Our team identifies and understands strategic trends and offers daily, weekly, biannual, and reports on economic performance to allow you to capitalize on opportunities and mitigate potential risks before they impact your bottom line. Our work as your partner will enable you to get free access to the cloud and keep an eye on dashboards as your indicators to analyze the outcomes.

Contact us today or book an appointment!

Are you enthusiastic about streamlining your revenue cycle and increasing your profitability while providing maximum patient care simultaneously? Book an appointment with a leading company, MedsIT Nexus, and let us show you how our company will perform administrative services and how these services are tailored to suit you best. Gone are the days when healthcare providers compromise their profit while providing optimum patient care. Now, your partner is with you to provide economical services because we can only be successful if you are.

Our percentage-based fee structure is designed to be competitive and cost-effective and is flexible for collecting money from insurance companies. We charge a minimum of 2.69% of your revenue, which varies depending on the size of your practice and location; hence, it is tailored to meet your budget.