Medical Billing

BillingParadise has helped many organizations and practices overcome their RCM challenges with our comprehensive medical billing services. Here are 7 common reasons why healthcare organizations, RCM directors, CFOs, practice admins, and practice managers reach out to us:

• Unhappy with your EHR/EMR provider’s billing/RCM service

• Unaware of technology solutions

• Negligence of existing medical billing outsourcing partner

• Lack of experienced staff

• Improper practice management

• Too many external audits

• Unworked charge, AR, and denials

• At BillingParadise, we have a 7-step approach to improving your practice’s revenue:

Step 1: Revenue Analysis and Audit

We’ll evaluate your revenue health by analyzing one year of financial data to provide insights on collections, bad debts, and revenue leaks. We’ll help you determine collectible and non-collectible amounts and recover lost revenue from existing AR.

Step 2: Re-structure your Medical Billing

We’ll evaluate your current medical billing process and set goals to increase revenue and improve patient satisfaction. Our team will provide support to your staff and implement updated operation modules.

Step 3: SOPs and EHR

We’ll work with your practice manager or RCM director to develop and implement new SOPs that align with industry best practices. We’ll also optimize the use of EHR systems to eliminate manual processes and increase efficiency.

Step 4: Flexible Medical Billing Staffing

We offer selective and temporary RCM process services to help fill gaps in your staffing.

Step 5: Round-the-clock Billing Support

Our 24/7 medical billing and RCM operations ensure timely claim submissions and reimbursement.

Step 6: Specialty-specific Medical Billing Services

We have experienced medical billing staff for various specialties, making it easy for specialty medical group owners or RCM directors to identify the right medical billing service provider.

Step 7: EMR/EHR Experience

We’re specialized in major EHRs and can provide excellent medical billing services with the current EHR/EMR you use.

Technology plays a vital part in BillingParadise Medical Billing Services:

TeamBillingBridge is a user-friendly platform for automation, communication, and reporting to streamline your revenue cycle. With detailed revenue cycle reports, project management, and account receivable tracking, you’ll have all the key metrics in one place.

Our HBMA benchmarks for KPI metrics reporting include Days in Accounts Receivable (A/R) of 30-40 days, a Percentage of A/R Over 90 Days at 6%, a Non-Contractual Write-Off Percentage of less than 5%, the New Patient Ratio ranging from 25-50%, Payer Mix at 30%, and Referral Mix at 25%. Our reporting features involve tracking AR days, assessing adjustments, analyzing revenue and AR by the provider, evaluating rejection and denial rates, RVU tracking, calculating payroll, and appointment wait time, and providing KPI reports with transparency and 24-hour problem resolution TAT.

For practices that require complete automation, we provide robotic process automation (RPA) for all medical billing services including Patient appointment scheduling and registration

Patient eligibility and benefits verification, Coding, Charge capture/entry, Payment posting

 

Denial management, appeals, Patient statements, and collections.