- (510) 777-6600
- Info@windus.co
- 30 N Gould St STE 1801, Sheridan WY 82801
Medical Billing & Coding
Physicians spend years perfecting the skills necessary to establish a successful practice. Even with that knowledge, keeping up with the ever-changing world of physician revenue cycle management is incredibly difficult (RCM). Windus Business Solutions is in charge of all facets of physician medical billing, including the recovery of aged accounts receivables (A/R). We also provide a full suite of medical revenue cycle management services that are custom-tailored to fit your requirements.
Benefits of Outsourcing Medical Billing Services
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Medical practices lose a huge amount of money each year due to dropped claims. Medical billing companies are designed to handle your billing faster and with fewer errors. Having a system in place, managed by experienced billing professionals, reduces errors resulting in rejected and denied claims and keeps unpaid claims in process until they are paid. With the reduction of errors and timely submission of claims will result in increased revenues.
Performing medical coding and billing within your company might put your practice at a greater risk for revenue interruptions. This is because of the staff changes or unplanned employee absences. Outsourcing the works to medical billing and coding companies, on the other hand, would ensure that all your claims are processed accurately and quickly.
Physician spends about 30-40{72b488edba59d9774bedb1c7c2b93e106df09f80d92cfbd7001842356d9b6aff} of their collections on the medical billing process. By outsourcing these medical billing tasks, they can save a lot of unnecessary costs. The need for hiring a dedicated medical billing team is avoided by outsourcing, as well as the money spent on training them and keeping them up-to-date with the latest regulations.
Physician can afford to exclusively focus on patient care as the outsourced vendors’ main focus lies in maximizing their revenue. Outsource medical billing services make sure that each code gets correct reimbursement quickly, errors are identified swiftly, and denials are followed up rapidly. Releasing your physicians and staff from the hassle of long procedures of billing can help them focus more on patients and their practice.
Experienced and well trained medical billers have extensive knowledge on complex claim submission processes. Medical billing companies make sure that their staff undergo rigorous process training and successfully complete the required quality and domain-driven knowledge assessment. While at work, these medical billers ensure accuracy and submissions in a timely manner. They not only reduce the number of rejected claims but also review and edit claims for errors before the claim is sent to the payer.
Medical Billing Companies have better control over medical billing process and revenue payments involved. Misconception is very common among the healthcare professionals to think outsourcing medical billing services cannot be strict and genuine. In fact, outsourcing companies take the responsibility to finish the task quicker with expected revenue profits and payments. Too many bills can be handled at a time by the company because of its efficiency and skill to manage them.
Revenue Cycle Management Services
Windus Business Solutions improves all facets of RCM with our groundbreaking physician revenue cycle management system, including patient scheduling, payer credentialing, insurance verification, charting and coding analysis, claims management and much more. We aim to nurture the organization’s financial health and alleviate the administrative burden of working with insurance providers. In an all-in-one approach, we offer medical billing services for all specialties to streamline the billing process and achieve maximum revenue for your practice.
Credentialing Services
Credentialing is a vital aspect of enrolling in the recommended provider network of an insurance company. The potential of Windus Business Solutions to negotiate contracts that would benefit you is highly admired. It thus improves the number and coverage of patients. We at Windus Business Solutions aspire to be able to tend to a greater number of patients and maintain the quality of treatment for your facility. Our experienced specialists keep a keen eye on industry trends that sustain your relationships with both insurance providers and patients, encourage you to serve more patients, and achieve the highest reimbursement rates. It can be difficult to get into your preferred network, with almost all insurance providers shutting off their panels and leaving you with narrow chances of entry. You will however be able to discover further possibilities with the assistance of Windus Business Solutions.
Eligibility Verification
The first and perhaps most important step in the billing process is patient insurance eligibility verification. That means that to collect and correctly document all eligibility information, the service provider needs to be on the ball. Physicians need to check the eligibility and benefits of each patient to ensure that they obtain reimbursement for services provided. To support healthcare providers, validate inspection coverage prior to the office visit, Windus Business Solutions provides robust patient eligibility verification services. Our emphasis is on preventing denials and avoiding payment delays, which will increase revenue at service time, save time on the back end, and increase patient satisfaction as well.
Medical Coding
Insurance collection requires the timely and accurate submission of patient data by healthcare providers. The rate of claim approvals and denials is determined by the efficiency with which claims are submitted. In this situation, it’s critical to make the insurance claims filing process as reliable and fast as possible. Medical Coding involves assigning codes and categorizing patient records in order to improve the efficiency of the practice management process. Each patient’s chart is assigned a unique code that facilitates the retrieval of medical data for insurance purposes. Windus Business Solutions is a medical billing & coding specialist company which has served the healthcare industry around the world on multi-specialty and multi-disciplinary requirements. Medical Coding errors will result in denials, reduced reimbursements, and the need for rework, all of which have a direct effect on your revenue. We employ trained and qualified medical coders who ensure that the coding process is completed with the utmost precision.
Denial and Rejection Management
Owing to medical billing errors that result in claims being rejected or denied by payers, physicians lose a large amount of income. All claims are monitored by our physician billing services so that none of your well-earned money is left on the table due to lack of claims. In order to identify and remove common holdups in the process of resolving claims and pre-authorization problems, the analytical reports we frequently generate provide the information needed.
Payment Posting
EOB’s and ERA’s posted within 24 hours of their arrivals. Transactions are posted to the precise accounts, patient obligations are appropriately forwarded, denials are also escalated to the resources allocated and
Reporting
You are relieved of the time-consuming and sometimes boring task with Windus Business Solutions delivering your medical billing services, but you will also know exactly what’s going on with your income. Our reports are periodically delivered and are intended to keep you aware of the main performance measures. For example, you can see how long it takes to get paid and how the account-receivable balance performs in relation to the value of the services rendered. You can find that you get paid quicker, and after working with us the proportion of unpaid bills gets smaller. Reporting is the main tool for providers to be updated on their results in practice. When needed, we include the following standard reports and custom reports.
Old A/R Collections
We also find that in ageing A/R accounts, existing clients have large amounts of revenue being lost. A mechanism for arranging old A/R and having full recovery from those accounts is included in our claim management system. In certain situations, it is as simple as clarifying what the amount is for and reminding the right party, whether it is a payer or the patient himself, in the proper manner. Our streamlined process of medical billing results in reduced costs and full collection of revenue.
HIPAA Compliant and Secure Data Management
We use the same level of digital security services that banks use in order to keep patient information secure. Compliance with HIPAA is not something you have to think about when we take care of your billing. Our system is specifically designed to address the medical industry’s confidentiality and security needs. Windus Business Solutions is a leading HIPAA-compliant medical billing company for physicians since 2013, has provided the industry with a wide variety of revenue cycle management services for medical practice.
