Enhanced Performance: We enhance performance and bring new effectiveness to practices and partner billing companies. Our cloud-based practice management software keeps start-up costs low, provides free updates, and eliminates ongoing maintenance costs. HealBill Solutions offers continuous health insurance billing and insights for your practice.

Reliable Methodology: As specialists in medical billing, we utilize a proven combination of detailed billing checks and expert staff to ensure 99% of your claims are paid. Our goal is to simplify your billing and coding process, helping you optimize collections and receive the payments you deserve.

Boosted Revenue Flow: Our team of well-educated, trained, and experienced billing specialists at HealBill Solutions uses the latest technology and software to save you valuable time, allowing you to focus on patients and increase cash flow.

Patient-Centered Approach: By taking on the most time-consuming administrative tasks, our medical claims and billing specialists free you to focus on growing your practice and improving patient care quality.

Minimized Claim Rejections: With HealBill Solutions, you receive funds more quickly, as most of our submitted insurance claims are paid on the first submission. Our industry-low rejection rates mean fewer unpaid claims.

Comprehensive Data Control: As a leading medical billing agency, we provide accurate insurance claims processing and full control over your data. With web-based, real-time access, you can access your data anytime, anywhere with an internet connection, 24/7.

Regular Regulatory Updates: We keep you informed of the latest medical billing rules and changes, ensuring your practice stays updated and compliant amidst the industry's challenges.

Clear Communication: Effective and clear communication between medical billing service providers and practices is essential for success. HealBill Solutions maintains an open, transparent two-way communication process to ensure successful results.

Furthermore, our billers submit claims to clearinghouses to maintain 100% accuracy for all clients. We generate CMS 1500 forms for submission to government agencies.

Our billers implement layers of quality processes before claims submission, including manual checks to ensure accuracy and random quality audits using statistical data. Additionally, we consistently utilize scrubbing tools to guarantee that 99% of claims are paid on the first submission without errors, resulting in minimal delays in payment, typically within 30 to 60 days.

This involves accurately entering the allowed amount, paid amount, and patient responsibility information, followed by calculating contractual adjustments. Such precision not only streamlines insurance follow-ups but also ensures thoroughness in payment posting.

With the advent of ERAs from payers, our billers excel in ERA posting, meticulously verifying posted payments. They specialize in navigating complex ERA scenarios, including denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittances, reversals, and more.

Before finalizing payment posting, our billers diligently reconcile patient payments received at the front office with encounters entered in the back office. This meticulous step-by-step approach distinguishes our billers as specialists in medical billing, ensuring optimal outcomes for your practice.

We meticulously identify category/payer combinations and strategize to resolve the mix that yields the highest collections. Our prioritization of claims is based on both dollar value and date of service, with a focus on addressing critical claims promptly. Organizing Account Receivables timeline-wise (30-45 days, 45-60 days, and beyond 60 days), we tackle urgent claims first.

Our expertise extends to identifying patient accounts requiring follow-up and taking proactive steps to recover unpaid and partially paid claims. We routinely generate reports on accounts 21 days past due and engage with insurance companies to ascertain claim status, re-file claims if necessary, or gather additional information. Our goal is to maintain an average age of accounts receivable at 25 days or less.

We recognize that many clinics face challenges in prioritizing insurance follow-up, resulting in delayed revenue collection. Our experienced team has honed their skills over years, forging strong relationships and deep understanding of claim statuses. This proficiency allows us to navigate the intricacies of insurance follow-up efficiently, minimizing hold times on phone calls with insurance companies. We understand that effective maneuvering through IVRs can significantly streamline the follow-up process and optimize revenue collection efforts.

In summary, our dedicated team of billers is committed to delivering exceptional results, ensuring that our clients' revenue cycles operate seamlessly and efficiently.

The cornerstone of effective denial management is thorough analysis. Once the root cause of a denial is identified, rectifying it and securing payment become straightforward tasks. Our professionals possess the specialized skills required to conduct precise analyses of claims, ensuring optimal outcomes.

Furthermore, our team is extensively trained to recover collectables from various sources, including Worker's Compensation, Medicare, Medicaid, and attorneys. Appeals play a vital role in denial management, serving as requests and explanations of the claim's eligibility for payment. Time-sensitive appeals are prioritized by our billers, who meticulously review commonly denied claims based on both volume and dollar value and file them promptly.

We recognize the importance of considering the cost-effectiveness of appealing claims, weighing the resources required against the potential income recovery. While we do not pursue appeals for every claim, our billers understand the significant financial losses practices may incur by neglecting to appeal denied claims.

In summary, our denial management services are designed to proactively address denials, minimize revenue losses, and optimize payment recovery processes. With our specialized expertise and strategic approach, we aim to maximize revenue potential for our clients while minimizing administrative burdens.

We possess comprehensive knowledge of the credentialing process and have established connections with key contacts to secure the best credentialing offers for your practice. Leveraging our understanding of market offerings, we negotiate optimal rates with payers on your behalf. Additionally, our billers can analyze the average fees charged by other specialists in your community and consult with you on your practice's fee structure.

Payer contract evaluation and renegotiation are crucial for maximizing revenue, yet many practices overlook this aspect, allowing contracts to automatically renew without negotiation. Our team recognizes the importance of regularly evaluating and renegotiating payer contracts to ensure favorable terms that directly impact your bottom line. By partnering with us, you can expect quantifiable results that enhance your practice's financial performance.

Annual credentialing maintenance, particularly for Nurse Practitioners and Physician Assistants, is essential for optimizing your revenue cycle. Our experts handle the credentialing process efficiently, allowing you to focus on your practice without worrying about revenue loss due to credentialing delays.

Moreover, our billers are well-versed in Medicare enrollment services, alleviating the complexity and time involved in enrolling physicians in the Medicare program. By entrusting us with Medicare enrollment, you can streamline the process and focus on delivering quality care to your patients.