Physician Billing

EMPOWERING PHYSICIANS TO CONCENTRAE ON THEIR CORE EXPERTIES

Physician Billing

MTServices understands and takes full responsibility for medical billing services provided. Our elevated accounts receivables (AR) performance is managed by preemptive approach, technical expertises and strict adherence. Our comprehensive grip on Revenue Cycle Management is tailored to meet the specific requirements for physicians practicing in different specialities. This ensures smooth practice for physicians with their focus on their expertise.

Our set of expertise enable us to efficiently manage individual as well as group practices. Our experienced team's effective communication with government payers and commercial insurance companies help practice remain updated with policies and guidelines. The MTServices staff is well-trained, skilled, knowledgeable and with the utilisation of external S/W tools makes the physicians billing seamless.

Benefits

Engage MTServices LLC Medical Billing solutions for 50% less than market cost.

Elevated Revenue

Delegating medical billing responsibilities may seem a risk. Our outsourcing financial model guarantees cost saving for practices which are then passed onto Providers. The substantial increase in revenue for practices significantly surpasses the modest commission we charge.

Financial Assurance

MTServices held itself accountable through Audits. Our commitment to transparency, frequent billing reports, free Audits, daily updates are delivered, enabling revenue monitoring, claim tracking, and insights into financial performance for better financial health.

Job Satisfaction

Average attending practice age is about 40 years. Although pay is good but recent studies shows physicians burn out and premature retirements and billing chaos can be a contributing factor. MTServices LLC eases this burden by managing practice billing services enabling doctors to prioritise patient care.

Fundamentals of Optimised Revenue

MTServices employs strategies to maintain revenue at an optimal level. A brief summary follows.

1. Pre-Submission Claim Review Process

The MTServices claim submission team adheres to in house built Standard Operating Procedures (SOPs) and as a part of our KPI meticulously examine claims for errors prior to submission. This thorough review encompasses various aspects, including demographic entry, data matching, pre-authorisation, eligibility and benefits verification, and coding edits.

2. Precise Claims Submission Process

Once pre-submission examination is complete, the MTServices team selects the appropriate billing form (CMS-1500 / UB 04)/ (837- P / 837-I). To avoid "Claim not on File" denials/rejections, our checklist process involves multistage examination such as timely filling, correct insurance address, correct payer ID etc. Then Claims are seamlessly submitted physically or via Electronic Data Interchange (EDI) format. MTServices medical billing solution focus on Preemptive checks on every step of RCM.

3. Claims Monitoring Process

Following the claim submission, MTServices implements a systematic approach to track each claim at various stages. We continuously checks EDIs, clearing houses and ensures the availability of a receiving receipt from the designated payer. To enhance efficiency, an intelligent mechanism identifies and redirects denied claims to the Accounts Receivable (AR) Follow-up team. The AR team assumes the responsibility of optimising payments from the payer and the patients.

4. Accounts Receivable and Denial Management

MTServices has NO-DENIAL Moto. We focus our attention on pre submission claim process to avoid denials. But denials are part of the system and sometimes due to mistake on payer end. Our AR team carefully record the payments in the respective patient accounts. Unsettled, denied and under compensated claims are throughly evaluated by our experienced denial management team. The Accounts Receivable (AR) team is responsible for discussions with insurance companies regarding under compensated claims and appeal process.

5. Preparatory Analysis

MTServices, has SOP on our performance metrics. Every step of RCM is recorded and gauged against the predefined benchmark. Any deviation is recorded and our team of analysts provides valuable feedback for performance improvement within the Revenue Cycle. This feedback enables the practice to keep performing efficiently.

Physician Billing