ALL MD CARE is End-to-End Service Provider

Our Efficient Medical Billing Outsourcing Process Helps Improve Your Cash Flow.

Is medical billing a challenge of your RCM process, we would love the opportunity to improve your cash flow.

Keeping up with present due accounts and ensuring past due accounts are pursued, makes it a difficult task for a practice but we have specialists who are trained to ensure everything stays in order.

We will partner with your practice in your medical billing and coding services to improve your workflow and optimize your cash flow.

ALLMD Care as an outsource partner to your medical billing service will optimize and stay on top of your revenue cycle, while keeping you updated with periodic reports of your financial health.

We understand healthcare industry is evolving at a quick pace, requiring physicians to adjust accordingly.

Most Medical practices face delays in reimbursement due to constant changes in payer’s policies and guidelines.

We have developed our process around our dedicated, well trained, experienced and collaborative Billing, Coding and Quality teams to avoid errors, ensuring almost perfect Clean Claim Rate and 100% Reimbersements.

We achieve this through multiple checks along the Claim process such as, in-complete information, NCD/LCD edits, codes, etc and collaborative AR Management team. Let us help improve your Claim Submission Process and Cash Flow as your Medical Billing Outsourcing Partner.

We understand healthcare industry is evolving at a quick pace, requiring physicians to adjust accordingly.

Most Medical practices face delays in reimbursement due to constant changes in payer’s policies and guidelines.

We have developed our process around our dedicated, well trained, experienced and collaborative Billing, Coding and Quality teams to avoid errors, ensuring almost perfect Clean Claim Rate and 100% Reimbersements.

We achieve this through multiple checks along the Claim process such as, in-complete information, NCD/LCD edits, codes, etc and collaborative AR Management team. Let us help improve your Claim Submission Process and Cash Flow as your Medical Billing Outsourcing Partner.

Our Claims Processing

1: Patient Ledger Creation/Update:
Creating and maintaining Patient Account Ledger. This includes but not limited to Patient Demographics, Insurance and personal information Accurately, which is double checked by the Team-Lead and Quality Team before Claim Creation.

2: Patient Responsibility and Insurance Verification:Based on the patient Insurance plan, our team will determine patient responsibility prior to Claim Creation. Our team will also be looking into things like, Primary/ Secondary coverages, Out-of-Network Benefits, Co-insurance, Deductibles and Pre-Authorization. Our Quality team will double check to ensure consistency and accuracy.

3: Medical Coding Checks:
Our Medical Billing professionals will check CPT/ ICD/ DRG codes, dates of service, locations and providers prior to entering charges to create claims. NCD and LCD edits are double checked in order to make sure the claim is being submitted correctly.

4: Quality Review:
Our Quality Team is experienced, well trained and equipped to ensure an error free claim is processed. Our Quality professionals will audit and check the completed medical claims prior to submission ensuring step 1-3 are done properly. All claims are thoroughly checked for valid and complete information, correct procedure and diagnosis codes.

5: Claims Submission:
Upon completion of Quality Review, Claims are submitted to Clearinghouse or Insurance Payers electronically and/or on paper (including necessary documentations as required). Our Team leads pay close attention to the status of the Claims to ensure they are submitted on time.

6: Patient Statements:
Our Patient management team generates all necessary patient statements and sends them out. There is a followup on each statement until it’s paid.

4: Quality Review:
Our Quality Team is experienced, well trained and equipped to ensure an error free claim is processed. Our Quality professionals will audit and check the completed medical claims prior to submission ensuring step 1-3 are done properly. All claims are thoroughly checked for valid and complete information, correct procedure and diagnosis codes.

5: Claims Submission:
Upon completion of Quality Review, Claims are submitted to Clearinghouse or Insurance Payers electronically and/or on paper (including necessary documentations as required). Our Team leads pay close attention to the status of the Claims to ensure they are submitted on time.

6: Patient Statements:
Our Patient management team generates all necessary patient statements and sends them out. There is a followup on each statement until it’s paid.

7: Patient Communication:
Patient is contacted as needed to ensure all questions are answered and all payments are processed in time. Our team can answer any questions from the patients as needed.

8: Closure and Forwarding of Claims:
Paid Claims are are posted by Electronic Remittance Advise/Explanation of Payments with high proficiency. Payments are daily updated to ensure up to date status of Claims. Any denied claims are forwarded to AR Management team for further processing.

9: Accounts Receivables Management:
Our AR Management team is Argumentative, Convincing and good at Negotiations. Our professionals will follow up against denials and pending claims for reimbursement until they are settled/paid. They are fully trained and capable of disputing claims and initiating appeals to the payers. Our AR team feedbacks are used to enhance our Billing and Coding process and optimize our Client Cash Flow.

10: Self-Auditing and Reporting:
Daily/Weekly Audits are conducted by our Quality team to ensure we stay on top of all our Claims and payments. Our Client Representative regularly send Claim Status Reports, thorough Business Progress Report to ensure transparency regarding the financial health of the practice and will also address any questions and concerns.

11: Delinquent Patient Accounts Management:
We can help our clients collect any delinquent patient bills by partnering with a collection agency.

12: Bill Closure:
We can also help our clients by updating Insurance and Patient payment information into the practice management patient ledger.

10: Self-Auditing and Reporting:
Daily/Weekly Audits are conducted by our Quality team to ensure we stay on top of all our Claims and payments. Our Client Representative regularly send Claim Status Reports, thorough Business Progress Report to ensure transparency regarding the financial health of the practice and will also address any questions and concerns.

11: Delinquent Patient Accounts Management:
We can help our clients collect any delinquent patient bills by partnering with a collection agency.

12: Bill Closure:
We can also help our clients by updating Insurance and Patient payment information into the practice management patient ledger.