VIRTUAL STAFF SERVICES
Outsourced Medical Billers for Medical Billing Companies
Provided as a managed service, CMed Virtual Staff remotely login to your medical billing software and perform billing tasks in one or more process areas. We follow the billing rules you set for each practice and provider just like your internal employees.
But unlike your on-site staff, you pay only for the hours you use. And adding additional staff capacity is as easy as sending us an email; no training costs or time consuming searches for the right candidate.
You can increase or decrease the level any of the services we provide as your business needs change over time.
Insurance Follow-Up / Denials Management
We all know insurance carriers routinely deny claims improperly or fail to respond at all.
Your internal employees therefore are forced to spend an inordinate number of hours
following up on unpaid claims.
Over time, an accumulation of small problems can result in a significant increase in
accounts receivable (A/R) and reduced cash flow to your clients’ medical practices.
Investing more employee time and payroll cost to solve the problem lowers your margins
and often creates stress in other areas of your operation.
Our Insurance Follow-Up Service solves A/R problems for medical billing companies
- Our billing team performs any or all claims follow-up for you
- Pricing is per hour of production with no additional fees
- We access your claims data via spreadsheet or A/R report (you send us)
or you can have us login to your billing system to perform the work
Process Overview
- Initial review of A/R report for obvious errors and potential corrections e.g. format of insurance ID
doesn’t match carrier; submission to non-local BCBS plan; failure to apply CCI edits - Research claim through carrier website & phone calls to carrier
- Annotate follow-up report with research results
- Annotate claim in the billing system with research results
- Return instructions to client or take appropriate action in billing system (if access has been provided) pursuant to specific practice rules. For example, write off properly denied claim;
re-queue / resubmit claim with appropriate and approved modifications; bill patient for COB
Demographic Entry
Your internal employees do not need to spend time entering patient
demographic information into your billing system. Our team can perform
this routine but time consuming process for you.
- The CMed billing team performs any or all demographic data entry for you
- Pricing is per hour of production with no additional fees
- You upload your scanned data to us
- We log into your billing system to enter the data
Process Overview
- Enter Patient Information
- Enter Guarantor Information, as appropriate
- Enter Insurance Information
- Provide your staff with confirmation of completion of work
or feedback on issues that require their involvement
Charge Entry
- The CMed billing team performs any or all charge entry for you
- Pricing is per hour of production with no additional fees
- You upload your scanned data to us
- We login to your billing system to enter the data
Process Overview
- Enter Charge Information
- Provide your staff with confirmation of completion of work
or feedback on issues that require their involvement
Payment Posting
- The CMed billing team performs any or all payment posting for you
- Pricing is per hour of production with no additional fees
- You upload your scanned data to us or we access downloaded payment data
directly in your billing software - We login to your billing system to post the payments
Process Overview
- Post payments from paper EOB’s, ERA’s and any other source
of payment information you receive - Handle denials pursuant to the same guidelines you use for your internal staff
- Correct and resubmit claims or escalate issues to your on-site staff for resolution
Copyright (c) 2017 CMed Virtual Staff.