Medical Billing
Our skilled billing and coding experts function as your remote billing department. Tailored executive summaries aid practice decisions. Monthly status reports foster financial growth!”
“We cover the entire billing process, offering a convenient one-stop-shop solution for all your billing requirements. Our services include:
Obtain patient schedule from the provider’s office.
Input patient’s demographic details and proceed for further.
Confirm benefit coverage with primary and secondary payers.
Initiate prior authorization requests and secure treatment.
Easy & Hassle-Free Process
Simple Steps to Get Quality
Healthcare Services
Eligibility
Check
We verify each patient’s insurance eligibility, reducing AR days, streamlining processes, and preventing denials for seamless operations.
Charge
Entry
Our meticulous charge entry process ensures swift reimbursements with a 98% first-time pass rate for error-free claim submissions.
Claim
Scrubbing
Our advanced claim scrubbing guarantees clean, error-free claims for swift reimbursement and minimal denials/rejections, optimizing the process.
Electronic
Submission
We systematically correct and resubmit held claims to promptly identify and resolve issues, ensuring timely claim processing.
Payment
Posting
Our team posts ERAs and EOBs promptly, verifying payment accuracy, and follows up on denials/rejections for seamless operations.
Follow-up
& Appeals
Upon denial, our A/R specialists at MATTBilling Solutions act swiftly, ensuring timely reimbursements and providing updates on appeals.
Patient
Statements
We send clear, easy-to-read patient statements, enhancing understandability and prompt payment likelihood.
Patient
Helpdesk
Optimize patient interactions, including scheduling, billing, and post-encounter communication, through our dependable patient helpdesk.
Credentialing
Documentation
Collection of documents and validate, Catalog and Store
Payer Submission
Submission of application within 48 to 72 hours.
Ensure Enrollment
Bi-Weekly follow-ups of applications and enrollment
Re-Credentialing
Periodic updates of the payer documents for re-credentialing
Provider Enrollment and
Credentialing
Provider Enrollment and Credentialing: Ensuring qualified healthcare professionals join the network, delivering excellence in patient care with verified credentials.
Individual/Group Enrolment
We facilitate Individual Providers and Groups in obtaining CMS Plans (Medicare & Medicaid) and other commercial Plans (Aetna, Anthem, BCBS, CIGNA, Humana, TriCare, UnitedHealthcare, and many more!) enrollment.
Facilty/Lab/Agency Enrolment
We offer comprehensive assistance in enrolling Facilities, Laboratories, as well as Home Health and Adult Care Centers. Our expert team simplifies the process, ensuring a smooth and efficient enrollment experience.
CAQH Registration/Authorization
Our advanced claim scrubbing guarantees clean, error-free claims for swift reimbursement and minimal denials/rejections, optimizing the process.
Individual/Group NPI Registration
We offer expert guidance to Providers and Groups in generating their National Provider Identifiers (NPIs), a crucial step that kickstarts their Credentialing/Contracting process. With our support, you can navigate this essential requirement seamlessly, paving the way for successful healthcare service provision.
Customized Reports
MATT Billing offers in-depth insights into payment, charges, and adjustments trends for each billing entry. Our data reports come in a user-friendly format, and you have the flexibility to customize them according to your preferences, providing you with comprehensive and personalized financial information.
Licensing/Compact Licensing
We specialize in assisting new Providers and Practices with obtaining licenses and certifications in multiple states. Our comprehensive services streamline the process, ensuring a hassle-free expansion of your practice across different regions.
What Is Medical Billing Process?
Step One
Pre-Certification &
Insurance Charge Entry
Step Two
Patient Demographic
Entry
Step Three
Claim Submission
Step Four
Payment Posting
Step Five
A/R Follow-Up
Step Six
Denial Management &
Reporting
What Is Credentialing Process?
1
First Step
2
Second Step
3
Third Step
4
Fourth Step
5
Fifth Step
6
Sixth Step
Physician Credentialing
Gather all essential physician information—licenses, certifications, education, experience, and insurance for accurate and timely credentialing with hospitals and insurance networks. Ensure all data is current and compliant with regulations.
Credentialing Strategy
Develop a targeted credentialing strategy by identifying and prioritizing the top Payers to which the physician practice most frequently submits claims. Focus on credentialing with these key insurers to maximize reimbursement opportunities and streamline the claims process.
Application Audit
Thoroughly review the credentialing application to ensure all information is accurate, complete, and properly documented. Once verified, promptly file the application with the appropriate payer or organization.
Form Submission
Submit the completed credentialing forms to the insurance carriers selected by the physicians or recommended by e-care, ensuring timely and accurate delivery to initiate the enrollment process.
Regular Follow-up
Consistently follow up with insurance carriers to monitor the status of credentialing applications, address any issues or additional requirements, and ensure timely processing and approval.
Enrollment Confirmation
Obtain the enrollment number from the insurance carriers once credentialing is approved and promptly communicate the details to the physicians for their records and billing purposes.
Physician Credentialing
Gather all essential physician information—licenses, certifications, education, experience, and insurance for accurate and timely credentialing with hospitals and insurance networks. Ensure all data is current and compliant with regulations.
Credentialing Strategy
Develop a targeted credentialing strategy by identifying and prioritizing the top Payers to which the physician practice most frequently submits claims. Focus on credentialing with these key insurers to maximize reimbursement opportunities and streamline the claims process.
Application Audit
Thoroughly review the credentialing application to ensure all information is accurate, complete, and properly documented. Once verified, promptly file the application with the appropriate payer or organization.
Form Submission
Submit the completed credentialing forms to the insurance carriers selected by the physicians or recommended by e-care, ensuring timely and accurate delivery to initiate the enrollment process.
Regular Follow-up
Consistently follow up with insurance carriers to monitor the status of credentialing applications, address any issues or additional requirements, and ensure timely processing and approval.
Enrollment Confirmation
Obtain the enrollment number from the insurance carriers once credentialing is approved and promptly communicate the details to the physicians for their records and billing purposes.