We review the coding and the notes on all claims to ensure that you are appropriately reimbursed. Our staff will share our coding knowledge with your providers so that they can code more effectively. We stay on top of all procedural and coding changes. We maintain our coding certifications by taking refresher courses.
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Medical Billing Services
Charge Entry
We update all patient demographic and insurance information. After the coding on claims have been reviewed and confirmed the charges are entered into our billing system and submitted electronically daily.
Electronic Claim Submission
Insurance claims are submitted electronically daily. The system scrubs claims prior to submission and are scrubbed again at the insurance companies and clearing houses. Any claims that are rejected are returned for immediate correction by our staff and then re-submitted. We receive an immediate claim acceptance and receipt for tracking, so there are no more lost claims and no more denials for untimely submission.
Monthly Reports
Each month Texas RCM provides you with a customized financial reports package allowing you to track your practice’s financial health. We meet with you and your selected staff monthly to personally review each report and answer your questions. Our billing reports are clear, concise and easy to read and can be customized to meet your specific needs for financial analysis, including comparison to national averages.
Claims are followed up systematically and quickly. We aggressively pursue your claims for maximum insurance reimbursement. EOBs and claims are assessed, prioritized and handled on a claim by claim basis. We are experts at getting through to the insurance companies to dispute improper denials and slow payments.
As an optional service Medetec offers a scheduler integrated with the billing system. This allows the practice to connect to our system to use the appointment scheduler. This offers an added benefit of allowing our staff to cross check the daily charges with the appointments for the day.
Analysis & Reports
Patient Billing
We handle all patient billing and collections. Patients communicate with us directly regarding all billing issues.
Patient statements are generated weekly on a 30 day cycle. This creates a continuous flow of revenue.
Patients send payments directly to your practice, they do not send payments to us.
Our direct phone number appears on the statement so that patients call Medetec Consulting Services with their billing questions and concerns – no more time consuming phone calls for your practice.
We provide your patients with the best possible customer service to answer their questions, interpret their EOBs, and work with their insurance companies to get their claims resolved.