Our Services
We are the International Billing Office (IBO) for 50+ Active Healthcare Providers in the United States, practicing across New York, New Jersey, and Washington state. Our Billing Services are:
Provider Credentialing
The first & the foremost step that involves physician and healthcare providers enrollment and attestation for the inclusion in payer network. The process emails verification of licenses, registration qualifications, and competencies of the healthcare provider
Eligibility & Benefits Verification
In this step, an assessment of the patient's information with regards to insurance coverage is carried out. This process filters the inaccurate and erroneous claims and ensures clean claim submissions
Authorization & Referral
Most healthcare services require Pre-Authorization or Prior Authorization from the insurance provider subject to plan benefits and medical density/criticality
Referral
A special type of pre-approval that the patients should obtain from their Primary Health care Provider prior ta seeking consultation or availing services from another physician/healthcare provider within the chosen network
Claim Submission
A crucial step in the RCM healthcare process is to determine the amount of reimbursement that the patient is eligible to receive once the dues are cleared. At this stage, claim submission and fallowing up of claims is completed after the validation
Charge Order Entry
Once the claim is submitted, all the pertinent information with regards ta the services and plan is entered into the database. The inputs include appropriate dollar amounts, fee schedules, and categorization & identification of various services, and accurate charges for each of those services.
Medical Coding
A key aspect in the RCM process is to extract billable information from the insurance documentation and treatment records and transforming it into set of alphanumeric codes where the abstract subjective data is transformed into standardized codes for the payment recognition by the insurance providers
Accounts Receivable & Denial Management
Managing the money owed to the healthcare providers for the services rendered. Il involves activities such as filing claims, sending invoices, identifying & following up an denial causes, re-filing the appropriate claims and final payments. Denial Management performing the analysis of the denial patterns through root cause analysis ta inculcate preventive measures against the repetition of similar denials in the future
Reporting
The final process in RCM flow keeps track at the KPIs incorporated by the medical billing companies. Predominantly this step constitutes analyzing and documenting the number of collections, encounters, charges and adjustments