Specialty-Specific Billing Teams to Concentrate on Your Specialty
We will increase your cash flow consistently
Services
UEB is a healthcare revenue cycle management service provider in India, that focuses on providing end-to-end medical billing services. Being an ISO certified medical billing company; UEB ensures complete information security compliance and process efficiency through innovation and technology-driven services. UEB provides exceptional healthcare revenue cycle solutions to our clients and has a proven track record of high performance for more than 15 years.
We are completely flexible in the services that it can provide as well as the pricing models. We offer the complete revenue cycle management suite or specific services on a ‘a-la-carte’ basis. Again the pricing model can be customized with a percentage or ‘per FTE’ pricing based on the services that are needed.
Our Services
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Appointment Reminder
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Insurance Verification
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Super Bill and Charge Entry
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Electronic Claims submission
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EDI set-up
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Medical Billing and Coding
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Rejection
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Account Receivables Follow Up
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Payment Posting and ERA Management
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Front Desk Support
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Physician Credentialing Services
Insurance Verification
A medical survey has shown that 6% insured individuals forget to renew their health insurance coverage annually and as a result they have to pay for the services from their pocket that account for almost 30% of their annual insurance premium. This can be disadvantageous for the provider as well, in case the patient becomes reluctant about their coverage and don’t pay the bills. To bring down these figures, UEB performs insurance verification of every patient that comes in for an appointment a day or two before. In case the patient doesn’t have an active coverage he is informed about the same. Advantages of Insurance Verification: Increase point of service collections (Co-pays, Out Of Pocket, etc.) Improves efficiency of revenue cycle Decrease claim denials due to no coverage Reduce risk factors Enhanced patients experience Simplifies workflow Reduced rework of claims Decreased account receivables days Alerts about self-pay patients
Super Bill and Charge Entry
Insurance companies have stated that 4 out of 10 denied claims of a provider are due to clerical error!
Charge entry into a provide management system or software is the first step of the revenue cycle and often most underestimated as well. In this process, already created patient accounts are assigned appropriate codes as per the service provided to them by the healthcare provider. The charges so entered will determine the reimbursements the physician will receive from the insurance company. Thus it is very crucial that these codes are entered properly, because even a minute error will lead to denial of the claims. Hence, utmost care should be taken to enter these codes properly so that a clean claim can be produced.
Depending upon the ease of the providers, some providers manually write codes on a super bill (A special sheet that consists of the list of services provided by a provider, the correct code is checked at the time of the appointment) or just write descriptions about the diagnosis and treatment, which are later converted into codes by specialized coders. In the later case UEB provides comprehensive and reliable medical billing and coding services, which assures that claims get paid easily and in a hassle free manner.
EDI Set Up
Universal Easy Billing can do a complete EDI set-up for new practices or practices moving from paper based claims to electronic forms. The process includes setting up the user and database on the EDI (Clearing House) website, testing with sample batches to ensure that the 837 and 835 are processed correctly and integrating the EDI with the Billing system for ‘one touch’ transmission of claim batches. Other aspects that can be set-up are 276/277 (Claim Status) and 270/271 (Eligibility and Benefits verification).
Electronic Claims submission
The healthcare claims contain sensitive information including patient data and insurance information. Submitting claims through EDI reduces processing delays and ensures higher acceptance rates with Payers.
Universal Easy Billing teams have the skill and expertise to check for transmission related errors at a ‘loop level’. This ensures that any re-current errors like skipping of a line-item can be analyzed and resolved in conjunction with the Clearing House support teams.
The e-care team for each client typically identifies one key member to be responsible for the EDI.
Medical Coding
One of the main reasons for claim denials is medical coding errors. To assist our clients in preventing these errors, we have a team of AAPC (American Academy of Professional Coders) certified medical coders, who maintain highest level of accuracy in medical coding. By meeting and exceeding the industry standards and compliance without compromising on quality, e-care guarantees accurate coding and complete satisfaction to our clients.
Rejection
Claims Rejections are claims that do not meet specific data requirements or basic formatting that are rejected by insurance according to the guidelines set by the Centers for Medicare and Medicaid Services.
These rejected medical claims can’t be processed by the insurance companies as they were never actually received and entered into their computer systems. If the payer did not receive the claims, then they can’t be processed.
Our team resubmits these claims after correction.
Account Receivables Follow Up
Our medical billers believe that accuracy of the claim and the time spent on retrieving the payment are key points in optimized revenue collections. Our aim is to improve the client’s cash flow by reducing days in accounts receivable and improving profitability, by increasing collections ratio. Our medical billers identify category/payer combinations and work on resolving the mix that results in the best collections. They prioritize the claims by dollar value and date of service. They organize the Account Receivables timeline wise (AR days between 30 to 45 days, 45 days to 60 days and beyond 60 days)and work on critical claims first. Our billers are well versed in identifying patient accounts that require follow-up and take the necessary action to collect unpaid and partially paid claims. Billers in our consortium run reports on account 21 days past due and call insurance companies to check claim status, re-file, or gather additional information. They keep the average age of account receivable at 25 days or less
Denial Management
Denial Management Services in Healthcare to Prevent Denials and Protracted Claim Submission Denials are an epidemic to the financial health of most practices, and they need to be treated well for your practice’s financial success. An estimated 10% of a physician’s revenue is lost due to the lack of denial management. Billers in our firm are experts in denial management analysis. Our Medical Billers and Coders help in preventing denials and revenue losses in the first place, and also help if you have denials from the past, and get them paid easily. The process of Denial Management Services has only one key – ANALYSIS. Once the root cause of denial is figured, correcting it and getting paid for it is not a task. The skill of a specialist is required to get the perfect analysis of a denial. We adopt the following strategies of denial management to improve the medical billing process:
2. Minimize coding errors in denial management service
3. Analyzing Medical Needs.
4 Check last visits
Payment Posting and ERA Management
UEB offers Payment posting and Electronic Remittance as a part of Revenue cycle management services and also acts as a standalone service depending on client’s requirement. Our team of experts has vast experience in handling a wide range of medical software such as clinical Works, GE Centricity, Care Cloud, Korea and many more. Payment posting is yet another crucial process of billing that is laborious and time consuming. A practice might receive hundreds to thousands of EOBs or ERAs on a daily basis.These payments should be efficiently posted into the system so that the account receivables report shows prompt financial status of a practice at any given time. Moreover, proper payment posting ensures that the balance is applied aptly. The complete AR cycle depends on the accuracy and timeliness of payment posting. Piles of EOBs in a practice can harm the revenue cycle dramatically
AR Analysis
Apart from RCM services, UEB providers the analytical services as a unique feature. it gives you the insight of your practice. In case, some other billing company is working for you and you want to know the efficiency and quality of work, RCM analytical service is made for you. It gives you the insight if all the incorrect denial, error finding of practice and RCM company as well. This service comes free of cost with full RCM services. However you can opt for this service as standalone.
Patient Statement
After final payment has been made by the insurance carries, the accounts are assigned to representatives, to invoice patients, and notify the patients with follow up reminders, of their responsibility to pay and arrangements made for payment.
Provider Credentialing
With all the different payers you have to work with, and their many different requirements, medical credentialing can be a massive effort for any healthcare practice.Â
Universal Easy Billing makes physician credentialing quick and easy. With the help of our expert credentialing and enrollment team, you can keep on top of the physician credentialing services you need to keep revenue and payments flowing, minimize coverage and referral issues, and revenue disruption.