Medical Billing
Services we provide
RCM (Revenue Cycle Management)
EHR & EMR (Electronic Medical Records)
Credentials and Enrolment services
Current challenges in medical billing industry
Frequent policy changes in insurance companies
Government policies & regulations
Compliance regulations and healthcare reforms
Medical billing
Services we provide
RCM (Revenue Cycle Management)
EHR & EMR (Electronic Medical Records)
Credentials and Enrolment services
Current challenges in medical billing industry
Frequent policy changes in insurance companies
Government policies & regulations
Compliance regulations and healthcare reforms
Looking Beyond
The Challenges
Why Choose Us?
Accelerated billing process at competitive rates
Individual & Personalised attention
Evaluation and Management based billing (E&M)
CMS based billing
AMA based billing
Lower claim rejections
Real time reporting
24/7 web based access cloud based access
Primary & Secondary billing / rebilling
Appeal for the denied claims
Security
Closed circuit digital camera
Biometric & Cloud access
Security system monitoring
Multiple check point to control areas
Equipment housed in locking cabinets
Building has restricted access beyond lobby
Credential Process
Conducting a full audit of health plan that includes confirmation of remittance address and TIN linkage for every provider.
- Credentialing document retrieval which includes the tracking of expired documents.
- Finishing up the application for initial credentialing as well as credentialing.
- Submitting application for the health plans.
- Following up with all the insurance carriers about the credentialing application.
- Storing all provider ID numbers into the EHS billing system to ensure accurate claims submission.
- Storing every provider ID number into the billing system of EHS, in order to ensure there’s no discrepancy with the claims submission.
- Developing and maintaining complete list of carriers as well as the provider ID numbers associated with them.
- Obtaining NPI (National Provider Identifier) numbers.
Provider Enrollment Services
Physicians/providers must credential themselves, i.e., enroll and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans.
- PROVIDER ENROLLMENT SERVICES
- OUR CREDENTIALING PROCESS
- Starting or joining a new practice
- Switching from one physician practice group to another
- Join or become affiliated to new groups or practices
- Enroll with new payers
- Maintain their credentialing services.
- Collect all the data and documents required for filing credentialing applications from the physicians
- Store the documents centrally on our secure document management systems
- Understand the top payers to which the practice sends claim and initiate contact with the payers
- Apply the payer-specific formats after a due audit
- Timely follow-up with the Payer to track application status
- Obtain the enrollment number from the Payer and communicate the state of the application to the physician
- Periodic updates of the document library for credentialing purposes
RCM Process
Benefits verification
Patient demographic entry
Charge entry services
Payment posting services
Patient's statement services
DENIAL Management
Claim are being denied for various reason which could be over turned by denial management strategies for complete satisfaction of our clients.
Strategies for denial management followed at Vizva are as below:
Healthcare service providers we deal with
Physical Therapist
Chiropractor
Acupuncturist
Nurse Practitioner
MD
Massage Therapist
Hospital Billing
Pathology Billing
Radiology Billing
OB/GYN Billing
Anesthesia Billing
Dental Billing
WC/NF Billing
Cardiology Billing
DME Billing
Oncology Billing
Orthopedic Billing
Pharmacy Billing
Psychiatrist
Physician assistant
