Prompt Claim Submission & Claims Management Services
Claim management and prompt claim submission are key factors that support the health of your medical practice.
Medical Claim Submission & Follow-up Procedures
The CBS Medical Billing and Consulting team commits to submitting all “clean” claims to the appropriate insurance company within 24 hours of receiving the notification to bill. This level of speed and precision is part of our broader suite of Medical Billing Services designed to optimize your cash flow and reduce administrative burdens.
Once a claim is submitted, CBS follows up on it every 15 days on your practice’s behalf, until the claim is paid. Each time the claim is researched, we note your patient’s billing chart.
This comprehensive process ensures that all of your claims remain in an “active” status.
All payments are posted within 24 hours of receiving notice of payment. CBS also handles all balance billing, whether it be to a secondary insurance or a patient. If a claim is denied, our team works diligently on your behalf to get the claim paid.
The CBS team has the experience to manage pre- and post-payment audits, to ensure that you will get paid. In many cases, we also provide strategic insight as part of our Practice Management Consulting Services, helping you refine internal workflows and strengthen compliance measures across the board. We don’t get paid until you do.
Prompt Claim Submission – FAQ
Q1. What are claims management services, and why are they important for healthcare providers?
Claims management services involve the process of preparing, submitting, and following up on medical claims with health insurance companies to ensure timely reimbursement for healthcare providers. These services are essential because they streamline billing operations, reduce administrative burdens, and maximize revenue by minimizing claim delays and errors.
Q2. How does a claims management company help improve the medical billing process?
claims management company specializes in handling every aspect of the medical billing process, from verifying patient insurance to submitting accurate claims and addressing denials. By leveraging technology and expertise, they reduce errors, ensure compliance with regulatory standards, and improve the overall efficiency of the billing cycle.
Q3. What is denial management in healthcare, and how can it reduce claim rejections?
Denial management in healthcare focuses on identifying, analyzing, and resolving the reasons for claim denials. By addressing common issues like coding errors, incomplete documentation, and eligibility mismatches, denial management helps healthcare providers reduce claim rejections, ensuring quicker reimbursements and a healthier revenue cycle.
Q4. Why should healthcare providers outsource claims management services?
claims management services allows healthcare providers to focus on patient care while experts handle the complex billing and claims processes. It reduces overhead costs, improves claim accuracy, ensures compliance with evolving regulations, and ultimately enhances cash flow for medical practices.
Q5. How can a claims management company optimize the revenue cycle for medical practices?
A claims management company optimizes the revenue cycle by streamlining processes such as patient registration, insurance verification, coding, claims submission, and follow-ups. They also provide insights through data analytics, ensuring healthcare providers can address inefficiencies and maximize revenue opportunities.
Q6. What are the common reasons for claims denials in healthcare, and how can they be avoided?
Common reasons for claims denials include incorrect patient information, coding errors, lack of prior authorization, and missed filing deadlines. These issues can be avoided by implementing robust claims management services, ensuring accurate documentation, conducting regular training, and leveraging denial management strategies to proactively address potential problems.
Q7. Features of Our Medical Billing Services
- Comprehensive claims management services to handle all aspects of the billing process.
- Expert denial management healthcare solutions to minimize claim rejections.
- Customized support from an experienced claims management company to optimize your practice’s revenue cycle.
