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    • Home
    • Services
    • Ideal Clients
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  • Services
  • Ideal Clients
  • FAQ
  • Contact Us

Services

Medical Billing

  • Process primary, secondary, tertiary medical billing claims.
  • Follow up with insurance (primary/secondary).
  • Track unpaid claims and send Letters of Medical Necessity when necessary.
  • Provide notification regarding any "Incomplete Claims" which were unable to be processed as a result, or when additional information is required by the insurance carrier to adjudicate claims.
  • Provide you with comprehensive financial reports.

End of credentialing process.

Credentialing

  • Our staff of professionals handles every detail of credentialing for you.
  • We contact you weekly to update you on progress until the process is over.
  • We provide you with written reports with our updates.
  • We track all applications submitted and maintain accurate records.
  • We guarantee complete security, confidentiality and accuracy.

Credentialing services tasks required for carrier approval.

Audit Protection

We take the following steps to ensure your compliance:


  • We review 50 records at random from your medical billing to check if any improper coding and non-compliance issues with Medicare/Medicaid appear.
  • We specify what corrective actions are needed to comply with codes.
  • We perform any necessary changes to put you in compliance.
  • We stand behind you with assistance in the event you are audited.

Procedure coding errors hinder medical billing process.

Procedure Coding

We offer services that manage your medical coding in accordance with the national standards (ICD-9CM, CPT, CMS and HCPCS).  Although medical staff may be trained on coding standards, the fact is, the codes often changed or are modified, or the requirements for using a specific code can differ from year to year. This jeopardizes not only your compliance but also your revenues because if a diagnosis or procedure code has been incorrectly assigned, you might end up with a denied claim or a decreased payment.  

Copyright © 2023 Health Pro Billing and Management Services - All Rights Reserved.


Let us increase your bottom-line

Call for a free Claims Analysis or Code Review

 (469) 502-3709 

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