Hospital Billing Services
NJ-MBS has a professional medical billing staff that provide hassle-free hospital billing services and eliminate costly errors, resulting in speedier payments to match your health organization’s unique requirements.
Do you consider your finances to be outstanding because of your accounts receivables? A disorderly hospital billing process significantly damages your financial nervous system. At this moment, you can think about outsourcing your hospital billing services. Outsourcing provides you with an intelligent solution that helps you arrange the whole process of billing and collection at a fraction of your operating costs today.
NJ-Medical Billing Services can help you maintain an effective payment and tracking process for expenses. We deal with hospitals and medical practitioners for over past years and can help you raise your reimbursement by more than 20%. We provide complete hospital revenue cycle management services, the medical accounts receivable, medical records, practice management and patient engagement solutions. Also, our team of professionals will help you to save time, ensure correctness and collect accounts quickly.
Hospital Medical Billing Services We Offer
We provide complete hospital billing services as well as customize services which include the following:
Demographics & Charge Entry Services
The main step in the billing process is charge entry, which determines the amount of payment for the healthcare organization. Charges from patient FaceSheet are entered into the patient’s account.
It is essential to have a talented team working on patient demographics entry since they must enter highly correct data into the system. Our hospital billing services team can provide you with high-quality and error-free patient demographic and hospital charge entry services.
Hospital Billing & Analysis
Our medical billing team reviews several sources in a patient’s file, such as the diagnostic test reports, imaging reports, and other sources, to verify the services performed and assign appropriate codes.
Incorrect code submission can lead to continuous claim denials, underpayments, and a disrupted workflow. Such difficulties can result in unnecessary claim-related burdens and complex medical billing issues.
Bill/Rebill
Immediately upon determination of the status of the account, all billing and/or rebilling activity is performed. Where needed, hard copy claims, medical records, and replacement documentation is sent. Priority of billing/rebilling activity is based on
a) aging of the account – where there is a danger of the account ‘timing out’, those jump to the front of the queue and
b) outstanding balance.
Claim Rejections
Any rejected claims from the follow up activity are analyzed, corrected (as needed), and re-submitted.
Appeals
Claims that are declined are appealed, where possible.
Secondary/Tertiary Billing
Once payment is posted, the account is reviewed for additional insurance for secondary/additional billing. Redacted EOB’s will be provided with the secondary billing as necessary.
Payments not received
For those accounts where payment is not received, we follow up with the insurance companies at least every thirty (30) days. For those non-governmental payers, patient involvement is also requested via outbound correspondence.
Patient responsibility after insurance
Patients are notified of their balance amounts. The self pay process includes customizable outbound letters and phone calls.
Unresolved accounts
NJ-MBS Project management reviews accounts where there has been no payment and no contact with the patient. This review ensures that NJ-MBS has performed all of its functions and every possible effort has been made to collect the money. Once past this review, the accounts are referred to the client for Bad Debt write off. NJ-MBS can forward these files in an electronic format directly to that agency, as needed.