As a trusted medical billing company in USA, we enhance revenue cycles for healthcare providers through data-driven strategy and streamlined workflow. Our medical billing specialists provide comprehensive solutions for health practices, ensuring precise claim coding, efficient filing, and optimal insurance reimbursements.
In today’s complex healthcare landscape, your practice needs more than just a billing solution – you need a specialist who understands your challenges. Our team brings 15+ years of hands-on experience in billing services for health practices, ensuring clean claims and faster payments. From timely filing to denial management, we handle every aspect of your billing cycle with attention to detail. When you outsource medical billing to us, you’re choosing a medical billing partner who consistently delivers precise results. We pride ourselves on clear communication, providing regular updates and insights into your account performance.
Our medical coding solutions encompass the full revenue cycle, maintaining a 99% first-pass claims rate. We handle everything from charge entry to complex bundling and unbundling scenarios, ensuring optimal reimbursement. Our AAPC-certified medical billing specialists stay current with CMS guidelines and payer policies, minimizing denials while expediting payments.
By choosing MediLedger for RCM management, you gain access to advanced analytics and KPI tracking. Our proprietary software provides real-time insights into key metrics like DAR, collection ratios, and denial patterns. We specialize in both governmental and commercial payer requirements, ensuring maximum reimbursement across all payment models.
Accurate medical transcriptions and coding are fundamental to clean claims. Our certified coders maintain a 99% accuracy rate while ensuring compliance with ever-changing regulatory requirements. We implement robust internal audits to prevent RAC and OIG audit triggers.
Our comprehensive auditing process includes quarterly chart reviews, modifier validation, and LCD compliance checks. With expertise in risk adjustment coding and HCC validation, we help practices optimize their documentation for value-based care models.
Modern healthcare requires sophisticated patient financial management. Our patient billing statements are designed for clarity and compliance, with integrated payment options and clear explanations of benefits. Through advanced eligibility verifications for healthcare, we reduce patient confusion and accelerate collections.
Our out of network claims processing achieves a 92% resolution rate within 45 days. By implementing strategic healthcare credentialing protocols, we ensure all claims meet payer requirements, reducing administrative delays and improving cash flow.
At MediLedger, we believe in keeping things simple and effective. We start by understanding your practice’s unique needs, then create a plan that works for you. Our team uses modern tools and proven methods to help you get paid faster and more consistently. Through strategic implementation of medical clearing house interfaces, we streamline EDI transactions and accelerate payment posting.
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