MEDICAL BILLING
Superior Service

What Sets Us Apart

Superior Services. Unmatched by the competition.

  • Accurate & Fast. Our electronic medical billing system is 32% more accurate and 40 days faster than our average competitor. This means we get you more money, faster!
  • Secure, Affordable and Accessible – Anywhere, Anytime. Our Cloud-based systems provide exceptional security and instant access from any web-enabled device, and you’ll never pay for expensive software updates again, ever.
  • Recovery Rate. Our fully automated accounts receivable collections system has over a 40% higher rate of recovery compared to a traditional collections agency.
  • Total Transparency. You have total access to all billing & collections activity 24/7 and 100’s of reports at your fingertips.

Experience and Support.
We are part of the nation’s largest network of medical billing companies, backed by more than 20 years of experience with over 1,500 offices nationwide.
We Are Your Total Revenue Cycle & Cash Flow Management Solution.
In addition to electronic medical billing and EHR, we provide solutions to any revenue cycle challenges you encounter in running a successful practice.
Superior Denial Management
The ClaimsWorks medical billing system has its own state-of-the-art HIPAA compliant Clearing house that translates into the following advantages for you.  We know (real-time) if a claim will go through as a clean claim.  Because our software has been designed to navigate through the individual idiosyncrasies of hundreds of different insurance payers and thousands of different plans, we know how to get the claims through – clean-claim style.

Our denial management works something like going behind enemy lines (navigating within the payer’s software program- not literally, but virtually).  The “landmines” that might cause a rejection or denial have already been identified in our software, and our smart software tells us how to side step those rejection or denial threats.

ClaimsWorks Denial Management checks the following:

  • Modifier usage
  • Checks for CCI bundling edits (CMS’ National Correct Coding Initiative)
  • Code validity
  • Relative Value Units
  • Verifies medical necessity
  • ICD-9 and ICD-10 codes with Crosswalk

Get paid fast

  • Claims are paid in as little as 2-3 days
  • Free up your cash flow

Outsourcing your billing is more cost effective than ever.

Because ClaimsWorks is paid on a percentage basis of paid claims, we go after every claim for which you deserved to be reimbursed.  We have the motivation to get those claims paid.  You don’t have to pay the overhead to train staff or pay out a salary and benefits.  Using in-house billing staff on average costs you $22.00 per claim.  Free up staff to address patient needs.

The Cloud-Based Advantage

Not only can you access your revenue cycle billing data from any computer, tablet, or mobile device where internet service is available, but you can rest assured that your data is safe and secure, and you will never again have to pay for software updates. Server maintenance and associated costs are also eliminated. Your billing records data is guarded by:

  • Multi-million dollar, state of the art data centers
  • Redundant locations, power supplies, equipment, internet connections
  • HIPAA Compliant
  • Early warning fire detection systems
  • Manned 24x7x365 and monitored with motion detection-triggered digital security cameras
  • Biometric scanners (palm) and traditional lock and key controlled access

Medical Eligibility Verification

  • Real-time eligibility and benefits
  • Verify Medicare and hundreds more
  • Co-pay, co-insurance and deductible data

Patient Scheduling

  • Patients can request appointments online via our patient portal
  • Appointment confirmations automated via email

Appointment Reminders and Message Broadcasting

  • Optional appointment reminders by phone or SMS text message
  • Include a complimentary email reminder for each patient

Extensive Reporting Features

  • Track everything during the billing cycle
  • Easy to read reports
  • Maintain control of your practice

If you would like to receive a FREE Practice Analysis, contact us today.