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PRove IT catalysts is a full-service development, voice and tech support agency based in Hydrabad, India.


The best medical billing services

Medical billing is our core ability and the billing company can efficiently manage all your billing requirements and needs. The medical billing specialists have up to 19 years of experience with all the key insurance payers including Medicaid and Medicare. Utilize the services of one of the top medical billing companies to make your task less resource consuming or we can say efficiently.

Patient Demographic Entry

The specialists of medical billing enter the patient demographic details like name, address, insurance details, date of birth, medical history, guarantor etc as provided by the patients on the spot. For the established patients, we validate the necessary changes and these details, if any, are done to the patient records on the system of practice management.

CPT and ICD-10 Coding

The coding team works in accordance with ICD-10 Coding compliance and CPT codes, which consist of AAPC, certified coders with more than 2 years of multi-specialty coding experience. You can send us your superbills with diagnostic notes with or without CPT and ICD codes. If the valid codes are already mentioned on the superbill, they are validated by our coding team compulsorily to prevent any 'down-coding' or 'up-coding' and therefore, any denials.

Insurance Verification and Pre-certification

The patient list, a copy of the demographic details and insurance card are sent to us via fax/email or secure FTP. The medical billing specialists will set up the insurance company prior to forming a proper appointment meeting for it. Pre-certification is probably done for diagnostic tests, surgeries and specific lab tests. Then all the details are sent to the clinic/hospital in the prescribed format.

Charge Entry

The fee schedules are already downloaded into the system of practice management. ICD-10 and CPT codes are entered into the system. The specialists of billing make sure that all details have been provided in the claim and ready to be filed.

Claims Submission

All the claims are submitted electronically through the practice management system. However, we can also process paper claims. On this stage, a thorough quality check is maintained by a senior billing specialist and then they submit it for further levels. The rejection report we get from the clearinghouse, if any, is the necessary and analysis changes are also done. The claims will resubmit again.

Payment Posting

Scanned checks and EOBs are sent to the Payment Posting team. Every payment will enter in the system. The amounts from checks/EOBs and amounts posted in the system will reconcile on a daily basis. With these data, the daily log is updated on regular basis.

Account Receivables Follow-up

All the claims in the system are priorities and examined are set. First of all the claims close with their limits of filing, and then start work down from the age of the claim. Periodic follow-ups no mobile phone online or/and email is done to get the status of each and every claim allotted to the insurance company.

Denial Management

Denials Management involves the analysis of partial and denials payments are professionally done by senior medical billing specialists. Providers, patients, facilities, Payors, and any other participants are called to follow-up on underpaid, pending, denied, and any other improperly processed claims and the action is documented in the system.