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Southside Healthcare Solutions provides medical billing, insurance claim processing and Accounts Receivable follow-up for the healthcare providers in USA. The wide range of our billing services include the following:
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Patient's Demographics Entry:
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Personal details
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Patient's full name including last and first name
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Date of Birth
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Present address inclusive of City, state and zip code
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Medical Records
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Patient's health history
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Patient's medical examination findings
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Lab test results
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Medications prescribed
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Referrals ordered to health care providers
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Insurance Details
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Patient's Primary Insurance, effective date and coverage and benefits
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Patient's Secondary Insurance details
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Other Details
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Employment Details
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Social security number
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Insurance details inclusive of primary, secondary and tertiary
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Guarantor information
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Charges entered
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Co-payment
We audit all the entries down to the smallest detail to ensure 100% quality services to you.
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Insurance Eligibility Verification:
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We check with the insurance companies of the patients for their benefit details before processing any claims. This ensures transmission of claims to the correct payer, with correct information.
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Pre-Authorization:
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If any services require Pre Authorization, we obtain the same.
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Coding, Charge Capture:
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Process of charges with appropriate state and specialty Specific Rules.
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While processing the charges care is taken for the details like date of service, referring physician, ordering physician, place of service, type of service, referral details and co-pay details.
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Internal Quality Assurance performed at different levels to provide high quality output.
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Highly trained Medical Coders analyze and update all CPT, ICD-9 and HCPCS codes across various specialties.
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Insurance and governmental regulatory requirements are strictly followed.
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Payer-specific coding requirements taken care of.
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On-line and Off-line software utilization experience.
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Payment Posting and Denial Management:
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Daily Deposits balanced accurately.
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In case of Low Pay or No Pay, analysis is done.
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Denials are worked immediately and secondary claim reports are sent regularly.
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Manual and electronic payer interface.
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Denial Posting.
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Provider Data Updates.
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Patient Billing and collection.
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Patient's Billing and other Follow-up:
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Receivables Analysis
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Payer (Insurance) Follow-up
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Denials management
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Practice Analysis
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Reporting
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Re-billing
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Reconciliation.
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