One of the most tedious and time-consuming tasks for any medical office is completing the paperwork associated with billing, insurance claims and the filing of those claims. Many practitioners complain of spending more time filling out forms than practicing medicine.
Now there’s an easier way to get paid for the care you provide! For over a decade, Madrelle Medical Billing has consistently provided ongoing administrative support on medical billing services that gets MORE money, FASTER, for medical providers. Our team of medical billing experts can help lower your overhead and increase your cash flow while giving you more time to spend caring for your patients and medical practices.
We are committed to delivering clean claims well within the required 90 day period. Don’t let denials, payment errors and rising healthcare costs cut into your bottom line! Let Madrelle help you focus on practicing medicine, not billing. We can also help you make the transition into an electronic claims processing system now required by recent mandates in Medicare. Call us today for a free consultation at (561) 469-6717! Madrelle – Paperwork doesn’t have to be your headache!
Charge Team: In this department, we have reliable individuals who first enter the patient personal information from the demographic sheets. They then check for the relationship of the Diagnosis and CPT code. Then they create a charge, according to the billing rules pertaining to the specific carriers and locations. All charges are accomplished within our agreement with the client.
Audit: The daily charge entry then needs to be audited to double check the accuracy of this entry, in other words, this is the check and balance to make certain the billing rule is being followed accurately. Also this department verifies the accuracy of the claims based on carrier requirements to be sure we have a clean claim.
Claims Submission: The transmission department prepares a list of claims that go out on paper or through electronic media. Once claims are transmitted electronically, confirmation reports are obtained which are filed after all verification processes, transmission rejections are analyzed and appropriate …
Claims Submission Continued: …corrective action is taken. Paper claims are printed and attachments are done, and put into envelopes and sent to the US postal service for mailing.
Carrier Adjudication: The carrier Utilization Review department would then review the claim. Once the review is completed, the claim would then be adjudicated and processed for payment. Then the EFT and ERA is sent electronically.
Review of EOB’S/ERA’S: Once we have received the explanation of benefits it is reviewed to make sure every single line item have been process and paid accurately. If any inaccuracies are detected the insurance companies are called immediately to review the claim or appeals are files for reconsideration of the unpaid claim.
Patient Billing: After the payment received have been applied, the patients are billed for deductible, co-pay, and co-insurance or for any non covered service. If payment is not received after 3 statements, we refer the patients account to our collection agency.
- Insurance verification
- Authorization requests
- Post patient charges
- Submit electronic and paper claims (UB04 for Hospital and HCFA-1500 for facility)
- Answer & resolve billing questions from insurers & patients
- Follow up on all claims including insurer denials
- Research & resubmit claims unpaid or denied claims
- Collect outstanding receivables with 99.9% efficiency
- Analyze fee & coding structures
- Make recommendations to maximize reimbursements
- Customize monthly management reports
- Create patient statements
- PQRI reporting
- Assist with free EMR Software set up that is meaningful use certified, free e-prescribing, free e-lab orders and integrates with our billing software.
- Greater efficiency and attentiveness of medical staff
- Save time and money while eliminating stress
- Productivity statistics reporting
- Reduced operating costs
- Compliance with state and federal regulations
- Advanced technology support
- Efficient collection of claims or recovery
- Timely insurance company reimbursements
- 48-72 hours turn around time for submission of claims
- ICD10 Ready
- You have access to use our billing software to views reports and billing process
- Free Scheduling System
- HIPAA Compliant
- We don’t get paid until you do
I strongly recommend Madrelle to anyone who enjoys increasing their revenue while receiving exceptional customer service.–Cynthia Rogers
Madrelle discovered revenue that was somehow over-looked. They worked tirelessly to improve our billing and collections while facilitating our transition from insurance contracts to system interface. We love Madrelle!–Janet Narcisse
Madrelle’s knowledge of the billing process and their diligence is refreshing. Our collections have sky-rocketed since switching to Madrelle!–Adele Pierre, ARNP
Madrelle delivers wonderful customer service. I am very pleased with the service Madrelle has provided to our practice. I regret now making the switch sooner.–Sean Michel, M.D.
I absolutely love the team at Madrelle. Everyone is focused on making my job easy. I feel like my clients never got my full attention until I brought Madrelle on board.–Michael Petinella, M.D.