Strategay is at the Heart of What We Do
Our vision is to inspire businesses to put employee well being at the heart of everything they do. Our mission is to use employee well being as a tool to champion positive change in the modern workplace.
Business Shaped Solutions
Billing and coding
BM Mediclaims assures to accurately Code and Create the charges of your encounters. Our Certified Coders and Billers make sure to get the correct details entered on the claim. That contains, checking of CPT codes and HCPCS codes, ICD10 and Modifiers, ensure documentation is accurate and up to date and entering the data into billing system, claims scrubbing for accuracy of information so the claim can be sent to the clearinghouse with no errors. We assure a 98% and cleaner claim ratio to our clients. Our billing experts are well versed in all Medicaid state plans, managed care plans, government-funded programs, third-party insurance, and Medicare billing rules.
Change is opportunity. The challenges it presents may seem daunting, but we help you approach change with confidence, adapt with purpose and embrace.
Our results solution combines implementation support, capability building and state-of-the-art diagnostic and analytic tools so you can continually change.
Upon doing the A/R (Account Receivable) our expert finds the Denials occurred due to many reasons like, coding, billing, patient, or provider errors. We guarantee to work and address those denials within the time frame of 48 hours from the time of denial posted or received. With 10+ years of RCM experience, we follow industry-standard key performance metrics to measure success and integrate best practices, so that you get the value of our proven experience and expertise.
AR Follow Up
We specialize in Aging A/R recovery. Insurance accounts receivables is a common problem within all type of medical practices. This causes a reduction in cash flow and loss of revenue. We pursue every old claim by assigning our dedicated team of Aging A/R specialists. Even if you don’t want to outsource your entire billing, we can help you with your aging A/R. If your in-house billing team can’t keep up with Aging, we can help!!
Enrollment Process is kind of preparing a bridge between provider and payers through clearinghouse. The enrollment process includes the verification of provider information & Billing/pay to address with payers. The enrollment process includes the Electronic Data Interchange (EDI), Electronic Remittance Advice (ERA) & Electronic Fund Transfer (EFT) process as well. Proper enrollment increases the payments from payers and avoid paperwork.
Credentialing Process refers to the process of verifying the proven skills, training, and education of healthcare providers. Verification of the providers’ credentials is done by contacting the “Primary Source”, which has provided the license, training, and education. The credentialing process is used by healthcare facilities as part of their hiring process and by insurance companies to allow the provider to participate in their network. Credentialing is also the validation of a provider in a private health plan and the approval to join the network. It is very important to remember that in today’s world of health insurance and revenue cycles, improper credentialing can lead to delayed or denied reimbursement for services provided.
Free Billing Audit Service
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Few Reasons Why You Should Choose Us
We seamlessly merge two key components – economics and information technology.