Our Premium Services
Medical billing is a vital function in healthcare that ensures providers are compensated for their services while maintaining compliance with regulations. Efficient medical billing processes lead to improved revenue, reduced errors, and a smoother financial operation for healthcare practices. Whether managed in-house or outsourced, effective medical billing is essential for the financial success of healthcare providers.
Medical billing is a critical process within the healthcare industry that ensures healthcare providers receive proper reimbursement for their services. Here’s a comprehensive description about our services :
KHJ Transcriptions services provides medical coding for over 40,000,000 charts annually in various specialties. Our continuous efforts to improve our coding and compliance through education, audits, and industry updates separate us from the competition with our dedicated team of experienced medical coders, we can provide you with the highest quality professional and facility coding services.
MEDICAL CODING
We have a highly trained staff that performs eligibility verification of benefits in order to avoid delays or errors in insurance coverage. Then the team verifies coverage on any primary or secondary payers by utilizing payer websites, automated voice response systems, or by making phone calls to payers. We also offer real-time pre-authorization services for walk-in patients.
ELIGIBILITY VERIFICATION
Most insurance carriers are required to pay the claim or provide a denial in writing within 30 days of receipt. Using our proactive approach to handling denials, we can improve your “days in AR” substantially. All the denials are segregated and forwarded to our denial management team for prompt resolution. The team then measures, monitors, analyses, and resolves all the denials received from each payer.
DENIAL AND ACCOUNTS RECEIVABLE MANAGEMENT
Insurance payments are posted to patient accounts from EOB’s into the client’s software systems, with a turn-around-time between 24-48 hours. We also generate secondary claims and mail them to the correct insurance companies. Daily payments are posted into the system where they are reconciled with the bank’s deposit sheet on a daily basis.
PAYMENT POSTING & PAYMENT RECONCILIATION
One challenge that the entire healthcare industry is bound to face in the coming year is the conversion of ICD-9 to ICD-10 coding guidelines, effective October 1, 2014. The new classification system will come with more than 155,000 different codes, a significant expansion from the mere 17,000 codes available in ICD-9. The transition to ICD-10 is a comprehensive undertaking that impacts every facet of the billing business. It calls for significant modifications to clinical documentation, coding processes, and workflows. If it is not managed properly, the resulting productivity losses, claim denials, and impact on revenue could be devastating. Rest assured, KHJ Transcriptions Services is fully prepared for this transition so that our customers are well protected from the impact of the transition.
ICD-10 READINESS
Once all the charges are posted into the system, we submit your electronic claims to the respective payers (including HCFA 1500 claims). We work on all your clearinghouse denials and give proper feedback with suggestions to reduce the number of claims that do not pass the clearinghouse. A detailed report will be sent to you on a daily, weekly, monthly, and yearly basis.
CLAIM SUBMISSION & CLEARING HOUSE DENIALS
CPT, ICD-10, HCPCS, and DRG coding across various specialties Insurance and governmental regulatory requirements Payer-specific coding requirements.
OUR TEAM IS PROFICIENT WITH
Reduce the burden on your billing staff and minimize administrative costs KHJ Transcriptions Services can handle virtually all aspects of the revenue cycle process. We can do your work either by function, or you can trust us to effectively handle the end-to-end revenue cycle management of your billing company, on your software platform!
REVENUE CYCLE MANAGEMENT
The first step in a clean claim is to make certain that the demographic information has been entered into the system correctly. This process involves collecting patient demographics from clinics and hospitals. Our team is trained to process, verify, and validate demographic information into the billing system.
PATIENT REGISTRATION AND CHARGE POSTING
Our team of expert medical coders then starts to abstract and assign the appropriate coding on your claims. They assign the appropriate CPT, ICD-10, and HCPCS codes in order to facilitate accurate claim submission downstream in the process.