Comprehensive Medical Billing Solutions for Healthcare Providers
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:
Custom healthcare software solutions tailored to your practice needs. We develop practice management systems, patient portals, billing automation tools, and integration solutions that streamline operations and enhance efficiency across your entire healthcare workflow.
KHJ Transcriptions delivers medical coding for over 40 million charts annually across multiple specialties. Through continuous education, audits, and industry updates, we ensure exceptional coding quality and compliance. Our experienced coders provide reliable professional and facility coding services, accurately abstracting and assigning CPT, ICD-10, and HCPCS codes for complete, precise documentation.
We have a highly trained staff that performs eligibility verification of benefits to avoid delays or errors in insurance coverage. The team verifies coverage for primary and secondary payers via payer websites, automated voice systems, or calls, and we offer real-time pre-authorization for walk-in patients.
Most carriers must pay the claim or provide a written denial within 30 days of receipt. With our proactive approach to handling denials, we improve "days in AR" substantially. Denials are segregated and forwarded to our denial management team for prompt resolution—we measure, monitor, analyze, and resolve denials from each payer.
Insurance payments are posted to patient accounts from EOBs into client systems within 24–48 hours. We generate secondary claims and mail them to the correct payers. Daily payments are posted and reconciled with the bank's deposit sheet every day.
The conversion from ICD-9 to ICD-10 (effective October 1, 2014) expands codes from ~17,000 to over 155,000 and impacts documentation, coding processes, and workflows. KHJ Transcriptions Services is fully prepared so our customers are protected from productivity loss, denials, and revenue impact during such transitions.
After charges are posted, we submit electronic claims to respective payers (including HCFA 1500). We work all clearinghouse rejections and provide feedback with suggestions to reduce future edits. Detailed reports are sent daily, weekly, monthly, and yearly.
Reduce the burden on your billing staff and minimize administrative costs. KHJ Transcriptions Services can handle virtually all aspects of the revenue cycle process—by function or end-to-end RCM on your software platform.
The first step in a clean claim is accurate demographic entry. We collect patient demographics from clinics and hospitals, and our team processes, verifies, and validates the information in the billing system to enable accurate downstream claim submission.
Comprehensive coding across all medical specialties
Full compliance with all payer regulations
Expert knowledge of individual payer guidelines
Let KHJ Transcriptions handle your medical billing so you can focus on what matters most—patient care.
