Medical Billing Consulting Services

MedVital Billing Solution is a Medical Billing Help Company offering medical billing consulting services. Our professional billing consultants work side-by-side with healthcare providers to help them achieve billing success. We immerse ourselves in your practice to pinpoint opportunities for reducing denials and speeding up payments.

Our medical billing consulting group provides the strategic guidance and tactical support needed to optimize billing processes, technology, and staff skills. With our consultancy solutions, every practice is positioned to thrive through improved medical billing.

Medical Coding

Clinical Statement Analysis

Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.

Medical Notes Coding

Physician coders convert diagnosis procedures into codes that are easily readable by insurance companies and hassle-free for medical providers.

Super-Bill Submission

Our coders work with the billing team to generate a super bill that includes charges the payer is responsible for patient insurance coverage, and any co-payments.

Claim Approval

Our coders advocate for the healthcare provider to ensure the claim is approved. They work to recover Aged Receivables and help ensure that denied claims are paid.

Revenue Cycle Management

Medical Revenue Service by MedVital Billing Solution, generates and collects payments for the services a provider provides to their patients. It’s a complete RCM solution managing end-to-end RCM operations like patient registration, insurance verification, coding, billing, and collections. Our RCM billing company optimizes revenue cycle for better financial outcomes of the physician’s medical center.

Charge Entry Feature

  • Claim creation, validation, and transmission
  • Entering valid super-bill information
  • Claim approval confirmation
  • Claim status tracking

Remittance Processing Feature

  • Processing of payments from the payers
  • Processing of adjustments and denials
  • Reconciling payments to the provider’s claims

Insurance Follow-Up Feature

  • Following up with payers for unpaid claims
  • Following up with payers for underpaid claims
  • Contact payers on a provider’s behalf
  • Negotiating and resolving claim disputes

KPI Reporting & Analytics

  • Monitors your key performance indicators
  • Analyzes days in accounts receivable
  • Analyzes claim denial rate and collection rate
  • Comprehensive and customizable reports
  • Advanced data visualization tools

Patient Collections Feature

  • Collecting patient payments
  • Managing initial statement + final notice
  • Sending clean bills and reminders to patients
  • Convenient payment options for patients

A/R Management Feature

  • Reduces the aging of outstanding A/R
  • A/R workflow optimization
  • Claim approval confirmation
  • Collecting A/R collections from the payers and patients

Coding and Documentation

  • Coding provider’s services compliantly
  • Using the latest coding standards and guidelines
  • Capturing relevant details that support a provider’s claims
  • Justifying a provider’s reimbursement for their services
  • Performing medical bill audits

Charge Capture Feature

  • Capturing and validating the service charges
  • Leveraging charge sheets and EHRs
  • Ensuring charges are consistent with coding and documentation
  • Reconciling your charges with your claims
  • Reconciling charges with your contractual agreements with the payers

Contract Management

  • Managing contractual agreements with the payers
  • Determining how much you get paid for your services
  • Reviewing and negotiating your contracts
  • Monitoring the contracts’ compliance
  • Analyzing the contract performance
  • Using metrics like contract yield and case mix index (CMI)

Credentialing

1st Class Reimbursement

Enjoy the advantage of first-preference reimbursement rates, maximizing your financial rewards. This means you get paid more for the same services, increasing your profitability and satisfaction.

Maximum Privileges

Our streamlined approach not only wins you contracts but also secures vital privileges. You will be able to participate in innovative programs, as well as get incentives for quality performance.

Billing-Ready

You'll be prepared to bill from day one, saving you precious time. You will receive a unique provider identification number (PIN) that allows you to submit claims electronically and track them online.

Swift Reimbursement

Faster reimbursements ensure a healthy cash flow for your practice. You won't have to wait for months to receive your payments, as we process claims within 15 to 30 days on average.

Payer Support

Our advocacy ensures insurance companies stand by you, supporting your needs. We negotiate on your behalf and resolve any issues that may arise, ensuring you get paid fairly and promptly.

Minimize Denials

With our expertise, denials become a thing of the past, boosting your efficiency. We verify eligibility, obtain authorizations, and submit accurate claims, reducing errors and rejections.