• Home
  • Medical Billing
  • Medical Coding
  • Auditing Services
  • ICD 10 Codes
  • CPT Codes
  • Specialty Services
    • Orthopedic Medical Billing
    • Dermatology Medical Billing
    • Cardiology Medical Billing
    • Specialty Medicine Billing
  • Contact
  • Home
  • Medical Billing
  • Medical Coding
  • Auditing Services
  • ICD 10 Codes
  • CPT Codes
  • Specialty Services
    • Orthopedic Medical Billing
    • Dermatology Medical Billing
    • Cardiology Medical Billing
    • Specialty Medicine Billing
  • Contact
EHS
  • Home
  • Medical Billing
  • Medical Coding
  • Auditing Services
  • ICD 10 Codes
  • CPT Codes
  • Specialty Services
    • Orthopedic Medical Billing
    • Dermatology Medical Billing
    • Cardiology Medical Billing
    • Specialty Medicine Billing
  • Contact
Picture

Medical Billing

The aim of our billing services is to provide our clients with maximum reimbursement on the backend by utilizing efficacious billing processes. Medical billing is the process of submitting and following up on claims. This requires the bulk of day-to-day activity as amendments must be made and correspondence back-and-forth with the insurance company and patient will be required. Medical billing is the last step on the end of the healthcare provider. From this point on the facility should expect to receive a payout or an explanation. Medical billing is the collection portion of the business and is necessary for any healthcare facility to survive. 

Medical billers are expected to be knowledgeable about the appeals process, timely filing, as well as coding guidelines and insurance policies. The medical biller works off all the information provided on the CMS-1500, CMS-1450 or the UB04 form. Medical billers also follow up with insurance companies via insurance portals or phone to follow up on denials and to ensure they are being reimbursed to all the compensation the facility is entitled to.  

At EHS we are able to work with the EHR system your facility already has in place or we can use our own software system, in compliance with HIPAA, to minimize your expenses.


Payment process
​1) Patient is seen by a physician who evaluates the patient and provides treatment. Evaluation and remarks are observed then recorded. The information the physician provides is then given a designated ICD-10 code that accurately describes the primary diagnosis (or chief complaint) as well as any clinical findings. The treatment that was provided is then logged using CPT code language and any necessary modifiers.
2) Diagnosis and treatment codes are then checked for accuracy on the super bill.
3) Medical billing specialist then take over from this point and input the information listed above as well as insurance information and  additional documents into the medical billing software. When all this information is properly compiled, ordered, and sent out to the parties involved, a claim has successfully been created. Claim is also double checked here to ensure accuracy and fulfillment of all necessary information for insurance companies.
​4) Follow up is necessary for the back-and-forth correspondence between the insurance company, clearinghouse, and your facility.
Picture



​About:
Eliza’s Healthcare Services, LLC was founded  with the mission to provide affordable, quality medical coding, billing and auditing services to healthcare facilities, private clinics, and other agencies. This includes hospitals, ancillary services, emergency department, outpatient surgical facilities and physician groups.  Coding and billing work together, hand in hand, in order to maintain compliance with governmental policies. We specialize in minimizing your clinic’s denials guaranteed, which will increase your overall revenue.
With the adoption of HCC’s, MS-DRG and APR DRG in addition to the implementation of the CMS Recovery Audit Program, comprehensive and accurate coding is critical to your organization’s financial health and compliance. We integrate our expertise and knowledge of the HIM Revenue Cycle, Coding and Auditing skill set to benefit our clients.
Billing Services
  • Charge entry
  • Claim scrubbing
  • Modifiers (if applicable)
  • Claim edits
  • Insurance & Denial
  • Payment Posting
  • Patient Statements> ABN's> Services not covered.
  • Maximize productivity.
  • Timely claim submission- within 48 hours or sooner of receipt of patient encounter/ superbill (either paper or electronically). We process and submit claims to the insurance company.
  • Reporting of financial snapshot available within EHS medical billing software.

Is outsourcing right for me?

Making the wise decision early on is imperative in running any business, let alone a business in the healthcare industry. What sets the healthcare business apart from businesses in other fields is the fact that there are volatile external factors that you must account for. Some of these factors include the likes of policy change, global health, insurance companies, and legislation. Nonetheless as a leader in healthcare you are obligated to provide the best care possible for your patients and  give  your healthcare company everything it needs in order to put your practice in the best position possible to succeed. Medical billing is a task that is often outsourced and understandably so. The process is tedious, meticulous, and full of redundant task such as following up with insurance companies and patients. These are some of the few reasons some leaders in the healthcare industry decide to allocate their time to more useful and impactful duties. The choice whether to handle your medical billing in-house or outsource, will be on of the most important decisions you will make for your growing healthcare practice. Neither answer is wrong as the most important thing is finding what is right for your company specifically. However switching models down the line can be costly and do more harm than good, that is why its imperative to make this decision early on. Below I will list a few pros for each model, and if you still need help after that reach out to us and let us provide you with a free consultation.

-In house billing:
-Doctors remain in close proximity for medical billers, which can assist in making adjustments to records on the fly.
-Leadership can tweak and explore processes to find what works for your company
-Leadership can train employees in roles based off what is needed most for your practice
-No commission or percentage pay on successfully filed claims (outside of position salary)
-Limited to business hours
​
Outsourced billing:
-No need to micromanage employees (built in quality assurance metrics)
-No staffing or shift shortages
-No associated salary (all pay is commission-based)
-No training necessary
-More hands-off/executive approach
-No billing issues to handle (all done by EHS)
-Access to cross-trained employees with experience (available 24/7)
-Quicker turnaround
-Higher yield of fulfilled claims



FREE CONSULTATION TODAY!
Picture

Rates for Outsourced Medical Billing Services

As you can see to the right there are two very distinct figures that outline the undeniable difference between EHS and our competitors. EHS charges its clients approximately 5% of all revenue generates from billed claims. On the other hand, the industry average for outsourced medical billing/coding cost healthcare facilities approximately 7% annually. We provide the highest standard of quality and customer service at a fraction of the cost. Our competitive edge doesn't end there; we make sure we get paid when you get paid not the other way around, that's the difference! Contact us today for a free consultation and see if we can meet your billing needs!

7.002% APR

  vs.

5.001% APR

Proudly powered by Weebly