Billing Services

Running a healthcare practice is no longer as profitable as it was in the past. The margins are either meager or non-existent due to the following reasons;

• Non-profitable payment arrangements with payers

• Failure to identify the un-compensated care and obtain authorizations

• Poor charge capture methodologies

• Poor coding and billing methodologies based on the specific health plan’s requirements

• Failure to follow-up the billing thoroughly

To survive in today’s market place, healthcare providers are in constant search for alternatives like cost reduction. It has been the focus of many healthcare providers for years. But it is just one side of the coin. Cost reduction alone cannot bring more profits to the business. The providers have to look at the other side of the coin as well… i.e. reducing claim denials and compliance risk by optimizing their billing process.

What We Do

CoreMedix Provides Complete-Suite of Medical Billing Services to Physician Practices and Billing Companies. Our Medical Billing Services include;

• Demographics entry and chart creation

• Eligibility verification and authorizations

• Medical Coding

• Charge Entry

• Claims Submission

• Claims Follow-up

• Payment Posting

• Balance Billing

• Denial/AR Management

Practices may delegate ALL or, depending on the need PART of their billing to us.

CoreMedix Billing Services are viable alternatives to traditional choices. We understand the business of our client physicians’ from a larger perspective and work towards a common goal. We are committed to deliver cost-effective and high-quality services, specifically tailored to meet each physician’s needs. CoreMedix best practices, expertise, and technology infrastructure promote the accuracy and efficiency of your billing process.

Our Strategy

Process Automation: To improve accuracy, reduce time, and cost.

Complete Capture: To ensure that all services rendered are billed in a compliant manner.

Clean Submissions: We submit claims on a daily basis, after auditing for completeness and accuracy. We strive to make all submissions clean and through to payers when they are first submitted.

Thorough Follow-up:Failure to follow up on billing increases the risk of lost revenue. We are committed to tracking every submission and working every claim through to resolution.

Payment Analysis: We analyze all payments received from payers for accuracy and appropriateness. As a result, duplicate payment, overpayment, and underpayment issues are fixed in a timely manner.