MEDICAL BILLING SERVICES
QuickWorkDone exists to liberate you and your practice from time consuming work, helping you run your practice better and freeing you to do... what you should rather be doing.
Our Services
Our medical billing services have helped healthcare providers to reduce denials and increase “Clean Claims ratio” to release cash faster.Healthcare providers across the US are facing challenges such as increasing regulations, increasingly complex coding, declining reimbursements and increasing operating costs. We understand that building a successful practice is challenging in today's healthcare scenario. Regardless of the size or specialty of your practice.
We optimize your entire revenue cycle and take on your most time-consuming tasks to ensure that your medical practice is running at maximum efficiency and profitability. Our team becomes an extension of your practice focused on your bottom line and reducing your administrative burden. Our advanced reporting and business analytics give you complete transparency and control of the entire billing process.
Our staff has experience working on multi-speciality clients and number of EPM systems and EMR
Specialties Worked
Urgent Care
Radiology
Physical Therapy
Internal Medicine
Dental
Orthodontics
Ophthalmology
Worker Comp–Lien &
Write Off Settlement
EPM Exposure
Medical Manager
Medical Mastermind
Next Gen
eClinicalWorks
QSI
Ortho Trac
Smile Link
PMX3
Allscripts
EMR/EHR
eClinicalWorks
Next Gen
Practice Fusion
Prognocis
Allscripts
End-to-End Medical Billing Services
Eligibility Verification/Pre-Insurance Verification
Before the patient's visit to the provider, we perform pre-insurance verification to check eligibility regarding the particular insurance, requirement for any pre-authorization or referral, whether any copayment has to be collected, if the patient has met the deductible, the amount of co-insurance the patient shares, and whether the patient's insurance covers the service sought from the provider. This step is important because many insurance providers do not provide retro-authorization.
Medical Coding
We access the superbills and detailed patient information from the physician's office through a secure network. The medical documents are verified and their validation is communicated to the client. The healthcare documents are then sent to the medical coding department to assign CPT and ICD codes. The coded documents are subjected to proof-reading and cross-checked by the medical coding manager. The coded documents are then forwarded to the charge entry team. We also validate the code entered by the clients. Invensis is getting ready for the ICD 10 change.
Charge Entry
The charges from the coded documents are entered into the particular patient account. If the patient is new and an account number does not exist as yet, then the patient account is created by entering all the demographic details from the patient registration form. Before transmitting the claims to the insurance payer through the clearing house, the entered charges are audited by the Quality Assurance (QA) team to ensure a 'clean claim' is submitted.
Claims Transmission
Before the patient's visit to the provider, we perform pre-insurance verification to check eligibility regarding the particular insurance, requirement for any pre-authorization or referral, whether any copayment has to be collected, if the patient has met the deductible, the amount of co-insurance the patient shares, and whether the patient's insurance covers the service sought from the provider. This step is important because many insurance providers do not provide retro-authorization.
Payment Posting
When our team of experienced medical billing outsourcing professionals receives scanned EOBs (Explanation of Benefits) and checks, these payments are entered into the system. As part of this task, we also charge appropriate patient accounts and initiate the process for denied claims in case actual claim is far below the expected one. Reconciliation takes place on a daily basis.
Accounts Receivable Follow-Up / Insurance Follow-Up
Once the claims are submitted to the payer for processing, our expert medical billing BPO follow-up team resolutely pursues all unpaid insurance claims that have crossed the 30 days bucket in order to reduce the accounts receivable (AR) days of the claim. Sometimes, the claims are underpaid by the insurance payer, and in this case, we ensure that the underpaid claims are processed and paid correctly. The denied claims are appealed by our AR team.
Denial Management
The denied claims are addressed on priority basis - our billers and coders find the missing puzzle pieces fast, and re-file or appeal the denial. We have Denial Analysts on board who fix the issue and send the claim for reprocessing. If the claim needs more information from the provider, then these gaps are filled promptly; if the claim is denied and the patient is responsible, the claim is billed to patient.
Patient Follow-Up/Patient Statements
We follow up with patients for any pending balance due after the insurance claim is processed A patient statement is generated and filed on a weekly or monthly basis, as per your business requirement. Follow-up is done through phone calls. If no response is received from the patient, we move those balances to collections, generate a report for it and send it to you for further action
Reports
Our reporting package contains monthly customized reports, including insurance aging reports and Key Performance Indicators (KPI) report, offering a detailed picture of your practice's financial health and the length of your claim payment cycle.
Provider Enrollment and Credentialing
We offer a comprehensive range of medical billing and healthcare BPO services. We complete all applications and necessary paperwork on your behalf with the chosen payer networks and government entities. We follow all payer contracts through to contract load date and provide copies of fully executed contract and fee schedules to your practice or billing company. We also maintain and update CAQH profile.
We are HIPAA compliant and follow strong Data Security policies
In today's modern competitive environment, employees need to replenish their knowledge and acquire new skills to do their jobs better. In general, we approve and encourage the following employee policies:
• We conduct annual HIPAA training for the entire workforce. This ensures that everyone is up to date of policy changes and new guidelines
• We have a stringent employee sanctions policy for noncompliance. Any non-compliance is dealt with seriously and corrective actions including termination are used depending on the gravity of the issue.
• We sign confidentiality agreements with all our employees. This binds the entire workforce legally to protect information. During hiring, employees agree and are educated that any information breach will result in legal action.
QuickWorkDone implements policies and procedures that help guide employees in the proper care and use of ePHI. These include security training requirements and how certain security responsibilities should be delegated in a facility. Our administrative safeguards include:
• We review all information system activity periodically
• We establish levels of access to information systems based on job responsibilities
• We access all termination procedures
• Background checks and other appropriate reference checks are conducted for new hires
• We protect information systems from viruses and malicious software
• All computer use unique user IDs and secure passwords
• Our contingency plans include disaster recovery, emergency mode, testing and revision of software
• We conduct periodic evaluation and audits of risk analysis, policies and procedures
We implement physical measures, policies, and procedures to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion. We do this by:
• Implementing physical access controls. All entry and exit points are only accessible using biometric access. In addition our facilities are manned by security personnel.
• We develop and maintain exhaustive document maintenance records
• A strict policy for workstation use ensures data remains safe. All USB ports are disabled and no mobile devices or storage devices are allowed in the facilities.
• Functional access controls align the employee’s access to information with his or her role or function in the organization. These functional or role-based access control and validation procedures are closely aligned with our facility security plan.
Our safeguard policies evolve with technology to ensure that technical safeguards in place are current and comprehensive. We ensure that Patients’ (ePHI) must remain secure from any external – or even internal – threats through these policies:
• We perform regular data backup for all our storage servers. This ensures no data is lost and all information is preserved securely
• We understand that secure data transmission is essential for healthcare organizations, especially with the growth of EMR and HIEs. All our network traffic is secured by firewalls. PHI is transferred using encryption and secure algorithms enable encryption and decryption of PHI.
• Our workstation policy is designed to prevent anyone other that authorized personnel from accessing the system. Our policies are designed to auto-lock and shutdown the system after detecting inactivity for short and long periods respectively.
Small Business Owners Love QuickWorkDone
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What a pleasure to have found QuickWorkDone to work on our website. My VA, Adam was very attentive to all of our ideas and requests. He quickly picked up on the design aesthetic of our company and imagined to give our website a sleek, modern appearance.
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I hired an assistant for a small project and expected to use the service to weather a downturn. I have been busier than ever and my VA has done an excellent job, and I’m very happy with her work.
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It's great to find a service like this so you can focus your energies on other things. Or you could just use your newfound free time for the loved ones or on things that you love to do!
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