Understanding Medical Billing Workflow for Healthcare Providers
Medical billing is the backbone of healthcare revenue management, ensuring that providers receive accurate and timely reimbursements. A well-structured billing workflow minimizes claim denials, maximizes revenue and maintains compliance with insurance regulations.
Collect patient demographics and insurance details. Verify the accuracy of information to avoid claim rejections.
Patient Registration
Insurance Eligibility Verification
Confirm insurance coverage, deductibles, and co-pays. Obtain prior authorizations when required.
Assign accurate CPT, ICD-10, and HCPCS codes. Ensure coding compliance to prevent denials.
Generate reports to track revenue, claim trends, and payment status. Optimize billing processes based on financial insights.
Analyze claim denials and correct errors. Resubmit claims with necessary documentation.
Record payments from insurance companies and patients. Identify underpayments and discrepancies.
Submit electronic or paper claims to insurance payers. Follow payer-specific guidelines for claim acceptance.
Charge Entry & Coding
Denial Management & Appeals
Claim Submission
Reporting & Performance Analysis
Payment Posting & Reconciliation
Our Success In Numbers
We are dealing with the clients since a long time
$125M+
Value of Claims Processed
Since 2019
99%
Total Revenue Collected
24
Accounts Receivable Days
48 Hours
Turn Around Time
1,000,000+
Number Of Claims Processed
99%
Customer Retention
98%
First Pass Clean Claim Rate
15-20%
Revenue Improvement
26 Days
Turn Around Time For Payment
35%
Reduction In Accounts Receivable
Proven and Cost-Effective Medical Billing Services for Maximum Revenue
Proven Medical Billing Services for Seamless Revenue Management
Efficient medical billing is the backbone of a financially successful healthcare practice, ensuring that providers receive timely and accurate reimbursements for the services they render. Studies indicate that nearly 80% of medical bills contain errors, leading to claim denials and delayed payments (Healthcare Financial Management Association, 2023). Our proven medical billing services leverage advanced technology, industry expertise, and AAPC-compliant coding practices to minimize errors, reduce denials, and enhance revenue collection. From claim submission and verification to denial management and reimbursement tracking, we offer a comprehensive approach that optimizes your practice’s financial workflow. With our services, providers experience a significant reduction in AR days and an increase in cash flow stability. Additionally, our team stays up to date with the latest Medicare, Medicaid, and commercial payer policies, ensuring compliance and preventing revenue loss due to regulatory changes. By choosing our medical billing solutions, healthcare professionals can focus on patient care while we handle the complexities of revenue cycle management.
Powerful and Cost-Effective Medical Billing Solutions
Medical billing inefficiencies can result in revenue leakage, compliance risks, and operational slowdowns, impacting a healthcare provider’s overall financial performance. Research shows that medical practices lose an estimated $125 billion annually due to billing errors and claim denials (Becker’s Hospital Review, 2023). Our powerful and cost-effective medical billing solutions are designed to prevent these losses by streamlining billing operations, optimizing coding accuracy, and implementing automated claim tracking. With a 98% first-pass claim acceptance rate, we help reduce the time spent on rework and appeals, allowing providers to maximize reimbursements while minimizing administrative overhead. Our team of certified billing experts ensures that every claim is meticulously processed, reducing billing errors and improving overall efficiency. Additionally, by integrating cutting-edge billing software and AI-driven analytics, we provide real-time financial insights that help practices make informed decisions about their revenue cycle. Our services not only enhance profitability but also offer a scalable and cost-efficient solution for practices of all sizes, making high-quality medical billing accessible and affordable.
Call Us Now | +1 (323) 412-5399
Call Us Now | +1 (323) 412-5399
Reduces billing errors and claim rejections.
Ensures compliance with HIPAA and payer guidelines.
Enhances patient satisfaction through transparent billing.
Speeds up reimbursement cycles.
BENEFITS OF AN EFFICIENT MEDICAL BILLING SERVICES
Improves financial health and revenue flow.
Call Us Now | +1 (323) 412-5399
What Our Clients Say?
Evo Care Medical Billing has been a game-changer for our practice. Their expertise in Chronic Care Management (CCM) helped us significantly increase patient enrollments, resulting in an incredible 233% revenue growth within six months. Their team streamlined our workflow, improved patient engagement, and ensured compliance, making a lasting impact on our success. We highly recommend their services to any healthcare provider looking to optimize billing and patient care.
Diane Baucom- Chronic Care Manager - AIMS Florida
Earn more and get paid faster with Evocare Medical Billing's 24/7 services.
Evocare is a medical billing provider that integrates with your existing EHR system for streamlined processing.
We are honored to offer top-tier service with a 99% retention rate that sets us apart.
