Bizmed IT Solution Private Limited

The Best Medical Billing Services

Bizmed IT Solution Private Limited is a company that provides practice management and billing services to healthcare providers. We aim to simplify the billing process and remove administrative burdens in order to boost revenue and profit margins for practices. We also focus on key areas of the billing and revenue cycle to eliminate any revenue leaks and allow healthcare providers to focus more on delivering quality care to their patients. 

Key Features of Medical Billing Services

Bizmid IT Solution Private Limited is Medical billing and coding services providing company and we can do a lot to help you run your medical practice efficiently while growing your practice. Our medical billing software enables you to manage all the patients’ data, improve your practice profitability, increase the number of patients, increase collection rates and reduce denied claims. 

Developing a Tracking Mechanism

Tracking the status of resubmitted claims with regular follow-ups is an important part of the claims process. By doing so, we will ensure that your claims are being processed in a timely and accurate manner, and that you are receiving the full amount of reimbursement to which you are entitled.

To track the status of your resubmitted claims, we will should keep a record of the date you submitted the claim, the reason it was rejected, and the date you resubmitted it. You can then contact your insurance company or healthcare provider on a regular basis to check on the status of the claim and make sure it is being processed.

It’s important to be persistent and follow up regularly, as sometimes claims can get lost in the system or overlooked. You can also ask for an estimated timeframe for when the claim will be processed and the reimbursement will be issued.

In addition, we can also consider using online portals or mobile apps offered by your insurance company or healthcare provider to track the status of your claims. These tools can provide real-time updates on the status of your claims and may offer additional features like claim tracking, claims history, and benefit information.

Overall, by tracking the status of your resubmitted claims and following up regularly, we can help ensure that you receive the full reimbursement to which you are entitled and that the claims process is as efficient and effective as possible.

Resubmitting Claims

Upon receiving the claims from respective departments, they are resubmitted again for a claim.

Building a Prevention Mechanism

Here’s a checklist on top denial reasons and how to handle them: Incomplete or inaccurate information: Make sure that all information provided is complete and accurate. Double-check all details before submitting claims. Lack of medical necessity: Ensure that the procedure or service is medically necessary and supported by appropriate documentation. Consider obtaining a second opinion or consulting with a specialist. Exceeding coverage limits: Verify that the procedure or service is covered by the patient’s insurance plan and that it falls within the coverage limits. Check the patient’s policy benefits and obtain pre-authorization if necessary. Non-covered services: Review the patient’s insurance policy to determine which services are not covered. Consider alternative treatment options or discuss self-pay options with the patient. Billing errors: Review billing codes and ensure they are accurate and match the service provided. Confirm that the claim was submitted to the correct insurance carrier. Timely filing limits: Ensure that claims are submitted within the time limit specified by the insurance carrier. Follow up with carriers on unpaid claims and appeal denied claims within the required timeframe. Pre-existing conditions: Verify that the patient’s pre-existing conditions are covered under their insurance policy. Obtain any necessary documentation to support the claim. Coordination of benefits: Ensure that the patient’s insurance coverage is properly coordinated if they have multiple insurance policies. Confirm which carrier is responsible for primary coverage and submit claims accordingly. Out-of-network providers: If the provider is not in-network, confirm that the patient is aware of any out-of-network charges and obtain their consent. Consider negotiating with the insurance carrier or appealing the denial. Invalid or lapsed insurance coverage: Verify that the patient’s insurance policy is valid and up-to-date. If the policy has lapsed or is invalid, work with the patient to establish new coverage or explore self-pay options. Remember to keep accurate and detailed records of all interactions with insurance carriers and patients to support any appeals or disputes.