The accurate and timely healthcare claims submission is essential for a healthy revenue cycle. A claim free of any errors and with complete information helps providers get paid faster. This leads to optimizing workflow, reducing administrative burden, and more time for patients.
Claim submission is the process of sending bills to insurance providers after a medical professional has provided the services. It's a way of requesting payment for the care the medical professional delivers.
The claims can be lodged either electronically or on paper. Electronic claims submission is faster, more secure, and preferred by most insurance companies. Paper claim submission, although still used in some cases, is slower to process and more prone to errors. The key types of claim forms include CMS-1500 and UB-04.
Your practice's data security and regulatory compliance are our top priorities. We maintain comprehensive HIPAA and HITECH compliance measures, incorporating bank-level security protocols that include 256-bit SSL encryption, multi-factor authentication, and 24/7 system monitoring.
Our team undergoes regular compliance training and background checks to ensure complete protection of patient health information. We conduct quarterly security audits and maintain robust disaster recovery plans to guarantee uninterrupted service and data protection.
Our billing services are very customizable. Whether you are expanding your services or adding more providers to your practice, we offer tailored support.
With us, you don't need to spend money on staff training or software. We utilize the latest technology and employ professional staff without straining your budget.
Our efficient claim process thoroughly reviews each medical claim. It reduces practice workload, and improves turnaround time throughout your claim cycle in medical billing.
Our professionals take enough time to file correct and prompt claims. This minimizes errors, denials, and compliance risks in your practice.
We gather and verify patient data, including health insurance details and eligibility, to ensure that all information is accurate and up-to-date.
Our certified coders use verified information for charge entry. They check CPT, ICD-10, and HCPCS codes for correctness and conformity with applicable requirements.
A claim is created in the system. Before submission of claim, it undergoes a thorough scrub to catch and fix coding or formatting errors in the process.
Clean claims are submitted electronically to the appropriate primary or secondary payer for processing. Banner: Our electronic claim submission process ensures faster processing and reduced errors when working with insurance companies.
Each submitted claim is monitored in real time. This includes status updates to ensure that nothing gets stuck or lost in the system.
If any claim is rejected or denied, we act promptly to identify the issue, correct the errors, and resubmit it for review.
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Aspect
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In-House Claim Submission
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Our Claim Submission Services
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Monthly Costs
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$3,000-$8,000 per FTE billing staff
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60-70% cost reduction with our services
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Setup Investment
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$15,000-$50,000 in software and training
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Zero upfront investment required
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Processing Time
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5-10 business days average
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24-48 hours guaranteed submission
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Staff Management
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Hiring, training, benefits, turnover issues
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We handle everything
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Technology Updates
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Costly software upgrades and maintenance
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Always current with latest technology
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Compliance Risk
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Higher liability for coding and billing errors
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Reduced compliance risk with expert oversight
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Revenue Cycle
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45-60 days average collection time
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30-40 days faster cash flow
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Our experienced team provides specialized claim submission services for:
We'll need patient demographics, insurance details, encounter notes, and provider credentials. Our team guides you through a checklist to ensure nothing is missed.
A claim is typically submitted within 24 to 48 hours, depending on the readiness of documentation and the availability of the provider.
We have a specialized rejection management staff that swiftly examines, corrects, and resubmits claims to guarantee speedy resolution. This helps maximize your collections with minimal effort from your side.
Yes. We adhere to strict HIPAA regulations and utilize encrypted, secure platforms to ensure comprehensive data protection.
Not necessarily. We integrate with most leading systems and work with your existing setup to streamline claims, minimizing disruptions to your workflow.
EZ MD Solutions, LLC supports 75+ active US healthcare practices with a team of 200+ across the US, Latin America, and Asia.
sales@ezmdsolutions.com
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