Get Reimbursed Faster and Better
Arm Fox professional and efficient offshore hospital billing services is designed to help hospitals eliminate costly errors and operate at top potential. Our in-depth knowledge of insurance eligibility verification and extensive experience in claims processing will help hospitals increase net revenue without affecting customer satisfaction and losing precious time, money, and resources.
Our End-to-End Hospital Billing Services
Being a premier hospital billing company, we are well-equipped to handle array of outsourced hospital billing services including:
Insurance Verification
We specialize in performing pre-insurance verifications before the patient arrives at a provider’s location. As part of this process, we check whether the patient is eligible for the insurance benefits under their policy and whether there is any requirement of pre-authorization or referral. All the co-payment that needs to be made along with deductible is also calculated. During this process, the co-insurance from the patient’s side, as well as whether the procedure or service provided falls under the insurance cover provided, is also determined. For many providers this step is vital, as it helps their claims to sail through smoothly, especially in the case when insurance providers do not support retro-authorization.
Medical Coding
The process begins with you providing us with the patient medical record either via VPN data transfer or by permitting us access to your practice management system. Before the actual coding process, the medical coder refers to different sources within the patient′s documentation such as doctor′s transcription, diagnostic test reports, imaging reports and other sources to verify the services rendered. The same coding method is followed throughout the medical coding process to maintain consistency. Next our medical coders, who are highly trained to handle CPT, ICD-9-CM, LMRP and HCPCS level II coding, assign appropriate codes that are in-line with defined standards while avoiding up-coding or down-coding errors. The diagnosis and assigned codes are verified for compatibility. Discrepancies, if any, are suitably modified.
Every step of the coding process is subjected to stringent quality checks wherein our quality specialists conduct several rigorous audits for ensuring highest level of accuracy and preventing up-coding or down-coding mistakes before providing coded charts to our clients.
Charge Entry
We enter charges from the coded documents into correct patient accounts. If the patient is a new entrant and doesn’t hold an account yet, then we create a new patient account and automatically fill all the demographic details captured from the respective patient registration form. Also, before every claim is transmitted to the insurance provider through the clearing house, the entered charges are thoroughly audited by the Quality Assurance (QA) team, thereby ensuring that only '100% clean claims' goes out of the system.
Payment Posting
When we receive scanned EOBs (Explanation of Benefits) and checks, our team of experienced medical billing experts ensure that every minute details pertaining to the payment are filed into the system. As part of their task, they also ensure that the payment details are updated into appropriately patient accounts and initiate the denial management process in case of actual denials. They ensure that reconciliation is a continuous and ongoing process.
Accounts Receivable Follow-Up
We keep the accounts receivable (AR) days of the claim to the minimum by ensuring that every unpaid insurance claim is resolutely pursued until they are paid. Our accounts receivable management team also ensures that denied as well as underpaid claims are appealed within the shortest possible time to ensure that they are processed and paid correctly.
Denial Management
Every claim which is denied is rigorously analyzed by our denial management team. Once we identify the reason for denial, we fix the issue and re-file the denied claim. If the claim is denied due to issues such as lack of adequate information, then the gaps are filled promptly; and if the claim is denied due to shortcomings on the patient side, then the claim is billed to patient.
Patient Follow-up/ Patient Statements
Our patient follow-up process ensures that pending balances due after processing an insurance claim are collected from patients. We also ensure that full statements for patients are prepared and filed every week/month as per the requirement of the client.
We are geared to ensure patient follow-up happens via phone calls and in case of non-payment these are automatically moved to collections.
Credit Balances
We offer credit balance processing for both payer as well as patient, after validating that it is a case of overpayment. This service ensures that timely and accurate refunds are received by the appropriate entity.
Credentialing and Enrollment of Providers
We are well equipped to file applications of every type along with necessary paperwork with the chosen payer networks and government entities on your behalf.
We are well-versed with handling hospital billing outsourcing services of 80+ specialities. This sets us apart from other hospital billing companies in the industry.
Our Hospital Billing Software
Unlike other hospital billing outsourcing companies, we are proficient in working with every major medical billing software including:
Why Outsource Hospital Billing Services to Arm Fox?
When you outsource hospital billing and collection services to an expert medical billing company such as Arm Fox, you can leverage the benefits of:
When you outsource hospital billing services to Arm Fox, you’ll partner with an expert hospital billing company that has extensive experience in maximizing profitability and minimizing errors by streamlining your billing operations.