CREDENTILING

Our Payor management team specialises in Credentialing and Enrollment. We carefully handle Form Preparation, Enrollment Formalities, Re-credentialing, electronic document submission, EDI setups, and registrations for CLIA, CAQH, DEAs, NPI, and TIN, ensuring comprehensive support.

PATIENT ENROLLEMENT

To deliver Quality service, MTServices delivers Self-Enrollement process for patients to Streamline patient care. This help Minimize time-consuming verbal exchanges with our expertly designed and efficient enrollment system, providing visitors with ease and convenience.

SMART SCHEDULING

Convenient and Well-coordinated scheduling and appointments for patients. Off-site registration, Technology such as Telehealth minimises front desk delays, save time and ease confusion. Enhanced patient convenience is achieved through automated reminders and flexible rescheduling options via email, text and with telephone.

APPOINTMENT REMINDERS

Our Dedicated team with the use of technology streamline appointment reminders to ensure timely notifications for patients. This promotes our culture of proactiveness.

  • Real-time Phone Reminder
  • Texting System for Reminders
  • Email Reminder System

ELIGIBILITY VERIFICATION

25% of healthcare claim are denied due to patient ineligibility according to industry sources. Our team employs realtime eligibility check with Softwares, Eligibility tools and Direct calls to verify patient benefits coverage to mitigate denials.

INSURANCE AUTHORIZATIONS

Pre-authorization/Pre-Certification is based on Complete provider documentation with the question WHY? Obtained prior to the patient's visit, reducing claim denials and ensuring accurate payment processing in our Medical billing process.

A/R FOLLOW UP

MTServices, with Pro-Active approach boost Lower A/R numbers. We employ technically experience staff with comprehensive knowledge of claim denials to submit claims with complete information in first go. Our Medical billing KPIs include DAR, the target is 30 days for Electronic claim form submission.

CHARGE ENTRY

Correct information in the system is vital for the efficient RCM management and Compliance. Either be physical forms or Electronic Entry, We have in house built mechanism to verify the coding, demographics and data entry. SQC is employed for further analysis of the data handling.

PAYMENT POSTING

Correct and Timely Payment posting is a crucial component of an efficient medical billing. With Precise payment posting MTServices identifies the trend and keep good shape of A/R. Our team manages adjustments, write-offs, denied and rejected claims, as well as secondary billing and corrected claims.

DENIAL MANAGEMENT

MTServices Moto - No Denials. We incorporate preemptive mechanism to avoid denials instead of reactive approach. Yet, denials are part and we employ combination of highly experienced team and set of software tools to analyse the denials, denials patterns, and take quantifiable measures to gauge early resubmission rate.

REPORTING

Reports are generated Daily, Weekly, Biweekly, Monthly, Quarterly and Annually. MTServices offer free Audits to assess the practice performance and offer recommendations.

PRIOR AUTHORIZATIONS

PA is critical for efficient RCM. MTServices has separate department to asses and seek Authorisation when necessary. We actively remain updated with insurance for any change.

Capability & Strengths

  • Committed to delivering cost effective - high quality medical billing & Coding services through regular Audits and Checks findings.
  • MTServices consistently maintains compliance with HIPAA regulations with continuous online assessment tools, trainings and implementing confidentially and data privacy.
  • Effective RCM utilisation with in house built mechanism, process optimisation tools and use of  Technology - AI, Bots with experienced staff.
  • Keeping upto date with insurance policies, Timely filing, eligibility and coverage, and reimbursement processes. 

Proficient in managing over 100 practices concurrently

Let us help you increase your healthcare financial being with our Proactive, Optimised, Cost effective RCM medical billing solutions with Add on Services. Reach out to us today, and let's redefine your success in the medical billing landscape!