Why RCM with LezDo techmed
We have a team of dedicated, trained and skilled healthcare professionals and we provide one stop solution for providers in Revenue Cycle management.
Our Medical Billing services are being utilized by various providers including Urgent Care, Family Medicine, Internal Medicine, Pediatric & Mental Health to speed up the collections & cut down their cost down by 50%. We also provide tailored solutions fit for your practice.
1. Credentialing
Payer enrolment for allowing you to network with various organizations.
10. Patient statement
All the patient responsibilities would be notified to the patient in the form of statement/Bill.
2. Eligibility and Benefit Verification
Checking the effective date of the patient’s policy and Identifying the covered and non covered services.
9. Account Receivable Follow up
Addressing the no response claims.
3. Transcription
Converting the recorded audio files to Text /Medical records
8. Denial Management
Corrective actions will be taken on unpaid/denied claims.
4. Coding
Converting the medical diagnosis and procedures in medical records to Alphanumeric codes.
7. Payment Posting
Payments are entered into the respective patient’s ledger.
5. Demographic and Charge Entry
Entering the patient’s details and alphanumeric codes into the billing software.
6. Claims submission – Paper or Electronic
Submitting the claims or bills to the insurance company.
Our Revenue Cycle Management Process
1. Credentialing
Payer enrolment for allowing you to network with various organizations.
2. Eligibility and Benefit Verification
Checking the effective date of the patient’s policy and Identifying the covered and non covered services.
3. Transcription
Converting the recorded audio files to Text /Medical records
4. Coding
Converting the medical diagnosis and procedures in medical records to Alphanumeric codes.
5. Demographic and Charge Entry
Entering the patient’s details and alphanumeric codes into the billing software.
6. Claims submission – Paper or Electronic
Submitting the claims or bills to the insurance company.
7. Payment Posting
Payments are entered into the respective patient’s ledger.
8. Denial Management
Corrective actions will be taken on unpaid/denied claims.
9. Account Receivable Follow up
Addressing the no response claims.
10. Patient statement
All the patient responsibilities would be notified to the patient in the form of statement/Bill.
Our Revenue Cycle Management Services
Eligibilty and Benefit verification
Eligibility verification involves checking the effective date of the patient’s policy and making sure whether the patient’s policy is active for the given date of service. This could be done via website and reaching out the insurance representatives via phone.
Benefit verification involves checking whether the service is going to be rendered are covered under the patient’s plan and to determine the patient responsibility. By checking benefit, we could determine the out of pocket amount the patient owe for the visit.
Account Receivable Follow up
Our medical billing professionals would find out the claims for which we did not get a response from insurance even after 30 days from the submission. Follow up’s via phone call or website would be made. Our process ensures a recovery of unpaid claims.
Medical Coding
Our professional Medical coders help you to ensure the ICD-10 / CPT codes are applied correctly during the medical billing process, which includes abstracting the information from medical record documentation, assigning the appropriate diagnoses and procedure codes, and creating a claim to be paid by insurance carriers.
Demographic and Charge Entry
Incorrect Demographic information is one of the reasons for medical claims being rejected. The correct and quality entry of Demographic information and charges positively impacts the quick settlement of the claims. Our error-free patient demographic entry and charge entry is the first step in the process of submitting a clean claim.
