SERVICES

Our Services

Credentialing, in general terms, is a verification of your health care providers experience, expertise, interest and willingness to provide medical care. In broad terms, credentialing encompasses obtaining hospital or facility privileges, as well as successfully enrolling in health plans as a participating provider.

Even after submitting tons of documents and forms to a variety of third parties to verify your credentials after joining a practice, don’t think that the work is done. Credentialing doesn’t stop after the initial forms are submitted. You’ll find that the process consumes hours and hours each year, particularly if you’ve adopted an inefficient process.

We at EMRB and Billing pioneer in credentialing services.  We make sure we handle all of the paperwork and documentation required for credentialing – leaving you with ample time to worry about your business.  We handle both government and non-government insurances.

If that wasn’t enough to impress you – here’s the icing on the cake.  Once you contract us for our billing services – Provider Credentialing is absolutely free.  All we need are all the renewed documents in the checklist – and we take care of the rest.

We also offer standalone credentialing services for clients not interested in Medical Billing Services as of yet.  Credentialing services for all of the government, and non-government insurances shall be available for a minimal $3500.

Call us now for any questions you may have – and our expert shall make sure every concern of yours is addressed

How “ EMR & Billing ” helps you achieve HIPAA compliance:

As a HIPAA Compliant company, all electronic claims generated by EMR & Billing are guaranteed to be HIPAA-compliant. Our medical billing software is designed with HIPAA in mind from the beginning stages of development to meet or exceed all HIPAA standards.

Our practice management system addresses all four parts of the “Administrative Simplification” provision of HIPAA:

Transaction Standards – All standard transactional codes (CPT, ICD-9, HCPCS) are generated through up-to-date databases.

Unique Identifiers – All entities using electronic communications (hospitals, private practices, insurance companies, etc.) must have a unique National Provider Identifier (NPI). We ensures your NPI is always correctly displayed and included in all forms and claims

Security – All personally-identifiable data is secure and backed up well beyond HIPAA standards.

Privacy – We provide specific functionality to help you comply with HIPAA privacy regulations

• Every employee enter into a confidentiality agreement, the terms of which state that they agree not to use, publish or disclose, or permit others to use, any confidential information they may come in contact with.
• Violation of this agreement warrants termination.
• Internet/Email access is provided to only authorized personnel.
• Access to computer systems is restricted by logins and passwords, which is unique for every employee.
• All paper containing PHI data is shredded before being disposed off.

Overview of the Privacy Rule:

• Gives patients control over the use of their health information
• Defines boundaries for the use/disclosure of health records by covered entities
• Establishes national-level standards that healthcare providers must comply with
• Helps to limit the use of PHI and minimizes chances of its inappropriate disclosure
• Strictly investigates compliance-related issues and holds violators accountable with civil or criminal penalties for violating the privacy of an individual’s PHI
• Supports the cause of disclosing PHI without individual consent for individual healthcare needs, public benefit and national interests

What is HIPAA ?

In 1996, the Health Insurance Portability and Accountability Act or the HIPAA was endorsed by the U.S. Congress. The HIPAA Privacy Rule, also called the Standards for Privacy of Individually Identifiable Health Information, provided the first nationally-recognizable regulations for the use/disclosure of an individual’s health information. Essentially, the Privacy Rule defines how covered entities use individually-identifiable health information or the PHI (Personal Health Information). ‘Covered entities’ is a term often used in HIPAA-compliant guidelines. This definition of a covered entity is specified by [45 CFR § 160.102] of the Privacy Rule. A covered entity can be a:

• Health Plan
• Healthcare Clearinghouse
• Healthcare Provider

Virtual Back-Office Solution:

Proving to be an unending frustration for you, consider entrusting that job to EMR & Billing. You can then focus more on your chief duty of providing customized, timely medical care. EMR & Billing Virtual Back-Office Solutions are designed to benefit an extensive clientele that includes doctors, hospitals, multi-specialty practices and clinics. The blend of capable staff and Online scheduling solutions makes for a winning strategy.

Our Front Office Services include:

  • Appointment Scheduling
  • Appointment Confirmation
  • Appointment Rescheduling
  • Appointment Cancellation
  • Insurance Eligibility Verification
  • Insurance Benefits Verification

Save Time: By having your answering service manage your appointment scheduling as well, it alleviates having to designate an employee to contact a patient the next day to schedule an appointment.

Saves Money: Our operators are able to interface with any web based free appointment scheduling software your practice may already use or we can provide access to our online system with no equipment or software for you to buy.

Increases Productivity: By having our operators manage your after-hours appointments, you can assign more important tasks to your employees.

A/R Management

Claims are followed up systematically and quickly. We attentively follow-up on your claims for reimbursement and appeal your denials .

• Our expert Follow-up Team tracks all unpaid claims. ERAs/EOBs and claims are assessed and prioritized, and handled on a claim by claim basis.

• Follow up is handled utilizing our electronic clearing house, insurance websites and direct contact via telephone. We are experts at getting through to the insurance companies to dispute improper denials and slow payments.

EMR & Billing analyze each Explanation of Benefits and Payments from the insurance companies and adjust each account accordingly. We post all payments, calculate write offs, co-insurance and deductibles .

• Our expert Payment Posting Team enters in payments on a daily basis.
• We review each Explanation of Benefits very carefully to ensure each claim was processed accurately. Claims are frequently under paid by the insurance companies and we are trained to evaluate payments for maximum reimbursement.
• Our Practice Management Solution is proficient for Auto-Payment Posting through ERAs.
• Write offs, coinsurance and deductibles are calculated and allocated appropriately, and we bill patients
immediately upon ERA/EOB posting.
• Once payments are posted, your claims are immediately turned over to our follow up team for pursuit.

Electronic Health Record (EHR)

EMR & Billing is using one of the Nation’s Best EHR, which is fully integrated with our Practice Management.

The widespread utilization of EHR adoption is imperative. With EHRs, careless medical errors can be prevented, administrative efficiencies will increase, unnecessary health care costs will be reduced and the overall quality of health will improve nationwide. Digitizing the entire medical record-keeping process is one of the largest goals of the Obama Administration and EHR adoption will continue to increase over the years to build a healthier future for our nation.

With the implementation of Health Information Technology (Health IT), it is feasible for physicians to better manage patient care through the secure use and sharing of patient health information. Health IT includes the use of electronic health records (EHRs) instead of paper-based medical records to maintain a patient’s health information.

With the implementation of an Electronic Health Record (EHR), physicians are able to provide higher quality and safer care to their patients. By utilizing an EHR in a meaningful way, physicians benefit by:

• Knowing more about their patients
• Making better decisions regarding patient treatments and care
• Improving office workflow and efficiency
• Reducing costs associated with the transportation of medical records, transcription costs, etc
• Increasing the quality of patient care
• Increasing the accessibility of charts
• Improving patient services and communications

Features:

• Appointment Scheduling
• Electronic Primary, Secondary & Tertiary Billing
• Electronic Insurance Eligibility checks
• E-Patient Statements
• Automatic Remittance
• Advanced Accounts Receivables Management
• Integration with various EMR/EHR
• Innovative technology
• Security

EMR & Billing help you reduce administrative tasks and paperwork by automating billing work processes, allowing you to spend more time with your patients. We help you get paid faster with our automated services that streamline your billing and coding processes and shorten your revenue cycle to maximize collections, decrease denied claims and ultimately increase cash flow.

We are committed to being a resource to customers and providing you with simple, affordable solutions that will streamline your workflow and increase the overall efficiency of your office.

EMR & Billing has the complete Practice Management Software that will bring positive results to your business.

Simplify Medical Billing

EMR & Billing is unique in the field of medical billing. We offer a complete business solution to your medical billing and practice management needs . The average medical billing fee is 8.5% nationwide, and our fees are typically well below the national average. Our goal is simply to provide the highest reimbursement on your claims at a competitive price .

EMR & Billing is much more than a claims processing center because we offer multiple benefits and services. Our state-of-the-art Practice Management system daily generates your claims, which are accurately coded and electronically submitted. Once your super bills are processed, payment can be received in as little as ten days, not three months.

Billing can be one of the most time-consuming and hassle-ridden tasks in a medical clinic. Insurance Payers are initiating aggressive steps in denying or delaying payment to providers. Our billing specialists are persistently pursuing medical claims and taking necessary actions in order to collect any and all outstanding balances no matter how big or small the amount.

EMR & Billing provides a full range of billing services with an Integrated Electronic Claims Processing System whether you are a new practice, looking to outsource your billing needs or an existing practice with an outrageous accounts receivable.

Our Medical Billing Services includes:

• Electronic and Paper claims processing
• Primary & Secondary Billing / Rebilling
• Claims receipt verification
• Electronic Eligibility Services
• Financial Reporting
• Line-Item Payment Posting
• Electronic Remittance Advice
• Transaction History
• 100% follow-up on all denied claims
• 100% follow-up on all aged claims
• Prompt, reliable answers to all billing queries
• Appeals
• Patient Statements Cycling
• Aging Reports

To start, We will conduct a needs analysis and survey of your practice in the following areas:

• True accounts receivables
• Average billing by day
• Average billing by month
• Percent Insurance collectables
• Percent Patient collectables
• Practice Processes and Procedures

Then we’ll design and implement a customized solution for your practice, utilizing our powerful billing tools built into our fully integrated Practice Management system.

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