Insurance Verifications
Insurance verification confirms patient coverage, eligibility, benefits, deductibles, and copayments before medical services. It's crucial for determining financial responsibility and involves confirming policy details and pre-authorization requirements.
Registration and Demographics
Registration and demographics are vital for healthcare, enabling effective care, communication, and billing. HelpsMd ensures accurate patient information, facilitating high-quality, patient-centered care while meeting regulatory standards.
Charge Entry and Submission
Charge entry and submission are critical for revenue generation in medical billing. HelpsMd ensures accuracy in patient details, coding, and claim submission, leveraging AI for error reduction and boasting a 98% pass rate. Continuous staff training ensures up-to-date expertise.
Clearinghouse and Payer Rejections
Clearinghouse and payer rejections are common in medical billing. HelpsMd addresses these by reviewing reasons, correcting errors, and resubmitting claims. Communication with payers ensures accurate processing and timely reimbursement for claims.
Payment Posting
Payment posting and cash flow analysis inform medical practice financial health and decisions. HelpsMd enhances revenue cycles with ERA and EFT setup. Collections include insurance, patient, and injury payments. Secondary insurance submission boosts collections by 3% to 10%.
Denial Management
Denial management involves identifying, analyzing, and appealing claim denials. HelpsMd prioritizes denials based on financial impact and initiates appeals promptly. Root cause analysis informs process improvements to prevent future denials. Regular follow-up with payers ensures resolution.
A/R Recovery
A/R recovery is crucial for financial health. HelpsMd categorizes aging claims for targeted action. We ensure timely follow-up on patient responsibilities and employ advanced AI auditing. With our expertise, A/R rates stay below 2%, ensuring better management.
Patient Billing
Patient billing is crucial for medical practices' financial health. HelpsMd sends concise, easy-to-understand statements and follows up with patients. We offer competitive pricing and prioritize patient experience, ensuring clarity and multiple payment options for efficient payments.
Analytical Reports
HelpsMd offers native reporting for revenue optimization. Our budget-friendly solutions provide detailed analytics on team performance, enhancing productivity. Weekly, bi-weekly, and monthly reports include charges, payments, balances, and claims breakdowns for practice assessment.