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What Services Do We Offer at Ideal Billing Solutions?

We are Experts in ICD-10 Coding and Get More Money For Our Clients

More Profits + More Savings + Happy Clients = Long Term Relationships With Our Clients

Billing and Collections

  • Rapid electronic claims processing

  • Audits to ensure error-free claims transmission

  • Submission of UB04 and HCFA-1500 claims for both facilities and individual providers

  • Continued follow-up on all claims

  • Prompt and Immediate posting of payments

  • Custom weekly and monthly reports

  • Analysis and recommendations for fee structuring

  • Monthly patient statements

Utilization Management

  • Assistance with effective clinical documentation, intensity of services, program scheduling, etc.

  • Peer-to-peer reviews and appeals processing

  • Eligibility and verifications

  • Utilization review allows health care providers to review patient care from perspectives of medical necessity, quality of care, appropriateness of decision-making, place of service, and length of stay.

  • In both fee-for-service and managed care delivery models, the physician owes a duty directly to the patient to provide services with a reasonable degree of skill and judgment in a patient’s best interest. That responsibility extends to a requirement that the physician advocate the patient’s needs before that patient’s managed care insurer.

Benefit Verification

  • Information on patient responsibilities, pre-certification, policy exclusions and payer payment estimates.

  • Admission staff benefits training to help facilitate better admission choices.

  • Immediate turnaround.

  • Benefit documentation for reference.

  • Benefit verification system that permits easy re-admission

  • Negotiations and payment Agreements

  • Insurance Forms and Registration

Revenue Cycle Management

  • Electronic charge capture

  • Charge entry and review

  • Electronic claims submission including secondary claims

  • Electronic payments and electronic funds transfer

  • Claims follow-up of denied and unpaid

  • Regular problem notification via web-based dashboard

  • Patient billing and inquiry

  • Collection agency reporting

  • Credit balance and refunds management

  • Informative financial reporting

Contact us Today About Professional Medical Billing Services

Why Do Providers Hire Medical Billers?

Most of the nation’s top providers hire medical billers to work with their software and to do: billing functions, A/R Follow up, payment posting, denial management and other services. It is important to note that medical billers are often not hired to work from home. Often, they must work a 9 to 5 job for a physician’s office in house or for a professional medical billing company.  Most physicians know that it takes a lot of knowledge to be useful for them.  ICD-10 has over 100,000 codes for different illnesses.  A person must be fully versed and knowledgeable about which ones are good for the right diagnosis. Medical billers and coders must have strong guidelines.  Most medical billing companies require their coders to be CPC certified.  This takes education and formal class work.  The certification is industry standard.  Billers that go through the proper training have a good job outlook for the next ten years and beyond.  There is a shortage of billers that actually know what they are doing today.  It is no secret that most businesses are turning to outsourced coding companies in order to fulfill their needs.  Most in house billers do not have the necessary tools to get good returns. A lot of billers today want to work from home and are finding that the systems are changing rapidly. You must keep up with the current changes or else you will not be able to keep up with ICD-10.  If you want to educate yourself more, register for some courses in universities that offer this training. There are many master’s degree programs now in medical…

Medical Billing Software: What is Necessary Today?

Medical billing has become complex and hard to understand for many physicians and healthcare providers today.  It is no secret that ICD-10 has everyone on edge. Many hospitals and treatment centers are losing money because of poor billing practices. It is not easy to find someone that is certified in ICD-10 or that understands what they are doing completely.  It is necessary to understand how software works. For starters, ICD-10 codes are often longer than they were in ICD-9.  This means that you are going to have to update your software. Yes, it can be expensive. However, if you outsource your billing, you won’t have to worry about that.  In 2010, many healthcare companies knew that ICD-10 was going to be released around 2015.  It was clear that the system would be complex with over 100,000 diagnosis codes.  The coding has become accelerated and most doctors are scratching their heads on what to do.  Thank goodness medical billing companies exist to help in the process. In order to learn the software, it takes training and years of experience. Experienced billers do not come around every day and it’s important to hold onto one once you have found these gems.  Many medical practices are getting penalties and bad risks because they are submitting false claims.  Even though it may be unintentional, a claim is false when the insurance company says it is. Doctors often think that the insurance companies have all the power and are trying to tell them how to be a doctor. However, this is not the case.  If you have a medical biller that knows what they…

What Kind of Services Does a Medical Billing Company Offer?

Are you a hospital, treatment center or physician’s office?  Are you thinking about outsourcing your billing and unsure if it’s a good idea or not? This article will explain to you the many services that a professional billing company can offer you.  It is becoming more popular today to have healthcare providers outsourcing their billing for many different reasons. For starters, medical billing companies save healthcare places a lot of money. Medical billing companies provide: standard billing services, regular follow up on claims, analytical reporting and diagnosis and procedure coding. It is not uncommon to hear of a company doing utilization management and ICD-10 coding. In fact, it is industry standard today to use ICD-10. It is also necessary to do proper medical transcription and negotiation of contracts as well.  There are many services that a billing company provides than just excellent resources. You should also receive patient billing and enquires, extended billing services and credentialing of insurance companies.  A billing service is there for you to take advantage of costs savings and negotiation of contracts.  It is important to note that not all medical billing companies provide these kinds of services. A lot of physicians ask themselves if they should use a service that is close to their home or far away. In my opinion, it is best to use   a company that is reputable.  When something is reputable, you tend to want to know more about it.  It is a wonderful way for most people to understand the billing process.  A lot of professionals say that choosing the right fit for your company is beneficial because you…
 




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