We will solve your accounts receivable problems with several years of experience that we bring to table. You will collect more with our organized approach. We work with whatever billing software you have, if you don’t have any, we will integrate one with your Practice Management System.
Medical Billing Services
The Company’s full range of services include: physician credentialing / contracting, data capture / entering / editing, claims creation / filing, denial management, patient billing, payment processing, web based dashboard reporting, and facilitation / integration of electronic health records.
Why Us?
- Accurate and timely posting of charges daily
- Follow up with the insurance companies, and appeal of all denied claims.
- Daily processing of primary and secondary claims.
- Immediate appeal of all denied claims and closure of all paid claims.
- Insurance eligibility verification.
- Gather missing information and correction of missing patient information
- Bringing down insurance account balances to zero
- Our Billing rates are very low in the market for the same high return results
- One month free trial
Revenue Cycle Management
We are highly experienced in End-to-end medical claim billing, in-depth reporting and patient support. We tailor billing services to our clients’ specific needs. With cutting edge technology and years of expertise, we deliver the best revenue cycle management results. Our Revenue Cycle Management services covers:
- Charge Entry
- Medical Coding
- Posting of all Payments and Adjustments
- Accounts Receivable Analysis and Management
- Insurance and Patient Follow-up
- Old Accounts Receivable Clean-up
- Insurance Verification
- Provider Enrollment
- Audits
Medical Coding
We offer high quality medical coding services to healthcare providers, hospital clients and Physicians. We are fully compliant with all of the Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRPs). Our coding teams, many of them are CPC, CPC-H and CPC-P to provide maximum and accurate reimbursement
To ensure a high level of accuracy, our 2nd level QA team continually monitors the coding accuracy. The proficiency of our Coding Department is unparalleled in the industry. Our continuous effort to improve our coding and compliance initiatives gets the best results to our Clients. Our Coding team has a solid experience in:
- CPT, ICD-9, ICD-10 and HCPCS coding across various specialties
- Efficient Coding for PQRI
- Insurance and governmental regulatory requirements
- AMA documentation Requirement
- Payer-specific coding requirements
- ACR, CMS and other official Coding Guidelines
Account Receivables
Effective medical AR and collections are very crucial to increase overall profitability. We work hard to improve our client’s cash flow by reducing AR cycle time. We continuously work on identifying and improving processes that can improve efficiency at each step of the revenue cycle.
Data Entry Services
CareFirst Solutions recognizes that simple data entry functions into practice management software systems may not always be so simple. Entering information quickly and accurately is critical to the success of ensuring clean claims and high productivity. Our data entry teams do:
- Demographic Information
- Charge Entry
- Payment Posting
- Data Validation
We have an expert team for:
- Orthopedic Billing
- Neurosurgery Billing
- General Surgery Billing
- Internal Medicine Billing
- Pediatric Billing
- Neurology Billing
- Endocrinology Billing
- Dermatology Billing
- Anesthesia Billing
- OBGYN Billing
- Podiatry Billing
- Psychiatry Billing
- Physical Therapy Billing
- Gastroenterology Billing
- Home Healthcare Billing
Our Guarantee
At CareFirs Solutionst we don’t believe in long term contracts. We are confident in the performance of all services that we provide to our customers. We will GUARANTEE our medical billing services. Our Revenue Cycle Management Service Guarantees:
- Collection of at least 98% of collectible revenue (excluding usual and customary write offs)
- We will refund any amount that was lost due to mistakes or oversight by CareFirst Solutions team (excluding client negligence and errors)
- We try to improve or at least maintain historical collections percentages
Our Prices
Regardless of whether you have a small practice or a big one, there is significant amount of work in uploading claims, posting EOBs, appealing denied claims and managing accounts receivables. We do all this so that you can Stay Focused on Care. We have a dedicated team for processing claims more accurately and quickly while appealing denied claims and reducing your accounts receivable.
We charge a small percentage of your collections, which is billed to you on the first day of each month. Because we get paid when you do, and we get paid more when you get paid more. We do not have any long-term contracts; you can cancel at any time without a penalty. We are sure based on our quality services and percentage of collections and you will stay with us.
Function Charge as a % of collections
- Demographics and charge capture 1-2%
- Processing of EOB’s 1-2%
- Follow up of insurance receivables 1-2%
- Follow up of patient receivables 1-2%
- General administrative functions 1-2%
EMRAnywhere
- non MMBS clients $4,000.00 per practice up to 3 providers
- $2,000.00 per additional provider
Conversion of paper charts to EMR
- MMBS clients $0.05 per page
- non MMBS clients $0.06 per page
Services Costs
- Document classification $0.05 per page
Maintenance / Support
- AMC for EMRAnywhere $200.00 per month
- Online Data Back up $25.00 per month minimum
We offer 30-Day Risk Free Trial – Start Your Medical Insurance Billing with Us Today!