Billing
Authorization
Medical billing authorization involves payors covering prescribed services before they are rendered, providing protection for healthcare providers.
Medical
Encoding
Medical coding involves transforming medical notes and documentation into CPT codes using professional coders to reduce claim processing delays.
Insurance
Verification
Insurance verification is crucial for providers to provide accurate and timely information about a patient's coverage, benefits, and co-payments.
Charge
Entry
Documenting care information prevents revenue leakage, requiring expert charge entry experts to process high volume transactions accurately.
Charge
Audit
BIS Charge Audit services detect missed charges, overbilling, and coding errors before payor denials occur ensuring cash is realized without delay.
Claim Edits or
Rejections
Claim editing is a cost-effective solution in healthcare RCM to ensure accurate medical billing and to protect patients from unnecessary bills.
Payment
Posting
Payment posting in Medical Billing helps manage daily payments, providing an overview of collections and collections. Efficient posting improves.
Patient
AR
Healthcare providers prioritize delivering high-quality service to patients, but high deductible health plans increase financial responsibilities.
Correspondence and
Denial Management
Correspondence and denial management are crucial in healthcare revenue cycles, involving payors and providers to address non-payments by...
Insurance
AR
Efficient collection of invoices is critical for healthcare organizations to maintain patient security and provide high-quality services at optimal...
Credit
Balance
Credit balance refers to overpayments made incorrectly for medical services, a financial liability in Accounts Receivables. Resolution and refund...
Revenue Cycle Management -Out
of Network
BIS provides integrated revenue cycle management services for out-of-network providers by negotiating settlements to claims generated outside...