Medical Billing

Medical Billing

Our Medical Billing Services department is a team of professional and experienced medical billing experts.

We provide services on both temporary staffing outsourcing and providing complete billing cycle services based on client requirements.

Process Flow:

  • Medical coding
  • Patient Demographics
  • Eligibility
  • Charge Capture
  • Payment Posting
  • Accounts Receivable

Patient Demographics

Timely and maximum reimbursement is a critical factor that relies on the accurate entry of demographics and charge information. Errors caused concerning clerks are given utmost priority to tackle issues by using six sigma methodologies. At Stellar, our team of dedicated personnel enters accurate information at a faster rate, which is highly essential in ensuring that to solve the critical issue for the fulfillment of providing clean claims and high productivity.

 

Eligibility Insurance

Insurance Eligibility Verification becomes a vital part of the RCM cycle as it becomes the source of denials relating to COB if ignored, which in turn affects the reimbursement process of 30-60 days of the cycle. Our team of experts uses internally developed applications. Physician calling is done to check the eligibility of the patient, avoiding rejections, and denials forefront.

 

Charge Capture

At StellarRCM, we do charge entry as a part of the revenue cycle management services. As we have got prior experience in handling several renowned medical billing software and different other medical specialties, we begin with the process directly, saving staff training time and effort. We pre-define account specific rules in the charge entry for all the medical categories, which minimizes the room for errors and contributes to clean claims.

 

Payment Posting

At StellarRCM, we post the cashed payment from patients & insurance companies to the account of the patient in the client’s medical billing system. The posted payment is stabilized against the deposit slips to fortify accuracy in payment. The payment posters also check for any underpayment made to the accounts. We follow the electronic posting of payments into the medical billing software and make sure to store the EOB files for future references.

 

Accounts Receivable

The largest and the most crucial asset of all healthcare providers is their accounts receivable. At StellarRCM, our Accounts receivables management function is the complete solution for the difficulties that occur in your cash flows, and we operate as an extension of your business section. The purpose here is to recover the funds by working on identifying and enhancing processes at a faster rate, which can improve efficiencies at each step of healthcare revenue cycle management while meeting the industry’s best practices.

 

Specialties covered:

  • Radiology
  • Emergency Department (ED)
  • Evaluation and Management (E&M)
  • Inpatient (IP)
  • Hierarchical coding classification (HCC)
  • Anesthesia
  • Pharmacy
  • Insurance Eligibility
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