Medical Billing and Coding Services

Medical Billing & Collection Services - Complete Outsource Solutions

Whether you require a complete turnkey billing service from start to finish such as our 5 Star Billing Process or just need temporary staffing our experienced medical billing and collection team is sure to impress you.

Not all billing services are suitable for every client. Our goal is to provide support in whatever way possible, beginning with an evaluation of your unique needs and preferences. Based on this assessment, we can determine the most appropriate solutions for you. Below are some of the services and processes we offer.

Accounts Receivables Collections and Consulting

Healthcare providers often have significant amounts of money tied up in aging accounts receivable and unacceptably high write-offs, resulting in insurance reimbursements that are far below what is expected and deserved. We provide expert consulting and/or services for medical Accounts Receivables. We can work your aging reports to collect monies owed to you or just analyze your receivables issues and recommend processes to dramatic ally increase collections.

Medical Billing Consulting Services

We offer a wide array of consulting services to meet each practices needs. We routinely advise clients on how to efficiently integrate software solutions into the billing environment and ensure that best practices and HICFA mandates are followed.

We also offer:

• Temporary Staffing
• Electronic Billing Setup
• Data Entry Services, including patient and charge input
• Physician Credentialing
• Fee Schedule Analysis
• Practice Analysis
• Insurance and patient collections
• CPT Coding and Reimbursement Analysis

Medical Coding & Claim Reimbursement

Medical coding is a fundamental aspect of maximizing claim reimbursement. The proper knowledge of medical coding and reimbursement methodologies enables providers to receive the correct and maximum reimbursements available. We assign the correct ICD-10, CPT, and/or HCPCS codes derived from the medical records and reports from your practice. Our Medical Coding Specialists generally have several years of clinical experience in an array of medical specialties, and are CCS-P and/or CCS credentialed.

Medical Coding Audits

We analyze your medical records and previous coding to ensure that your documentation supports submitted codes in case of audits.

HIPAA Compliance and Consulting

Healthcare data security is not only critically important it is the law. 5 Star has implemented numerous security measures to help ensure that your data and processes are absolutely secure, and in full compliance with all HIPAA guidelines on security and privacy.

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