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Medical Billing
 
 

Process

Scanning
Your staff scans the superbills, demographics, EOBs and insurance cards. These documents are stored on the computer server at your practice.

Lister downloads these files and assigns them to the medical billing executives to initiate the medical billing process. Our executives access your practice management software using a proxy service through VPN connectivity.

Coding
Our certified professional coders have up-to-date knowledge in CPT, ICD-9, and HCPCS coding to deliver high quality coding across multiple specialties.

They analyze the patient charts and assign codes as per medical diagnosis and specialty.

For more details on our coding process, please click here.

Patient Demographic Entry
We work on the scanned documents and enter the following details in your practice management software:

  • Patient’s name
  • Address, city, state, zip code
  • Contact number
  • Social security number
  • Employer
  • Insurance and guarantor details
  • Charge entry
The following information is entered into your practice management software:
  • Date of service
  • Referring physician
  • Ordering physician
  • Place of service
  • Type of service
  • Code details (CPT Codes, ICD Codes, Modifiers)
  • Authorization or referral details
  • Co-pay details
Status Reports
Details on scan control lists, pending lists, charge summary reports are sent to you everyday. A query / problem log on pending issues if any is forwarded to you, to address the claims.

Quality Check
Our quality assurance team check the claims for:
  • Incorrect or missing ICD-9 diagnosis
  • Incorrect or missing CPT-4 modifiers
  • Duplicate claim
  • Additional information needed to process the claim
  • Incorrect or missing CPT procedure code
  • Physician's name and/or UPIN is missing or incorrect
  • Incorrect or missing place of service code
  • Incorrect or missing quantity of services
  • Services inappropriately billed
  • Data entry on patient demographics are accurate
  • Coding is as per diagnosis and specialty
  • If there are unposted or duplicate charges
Suitable action is taken on the claim before it is sent to the medical billing department for filing.

Claims Transmission
After the audit by the quality assurance team, the claims are electronically submitted to the insurance companies.

Payment Posting
Details from the EOB are keyed into your practice management software.
These include:
  • Patient account number
  • Control number
  • Patient name
  • Date of service
  • Procedure code
  • Billed amount
  • Allowed amount
  • Adjusted amount
  • Paid amount
  • Deductibles and denial details
AR Follow-up
We have trained accounts receivables analysts to work on your unpaid claims.

Our AR analysts run an insurance aging report on a weekly basis and divide them based on the number of aging days such as 30, 60, 90 and over 90 days. Follow-up calls are then made to the insurance companies till the claims are resolved.
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What customers are saying...
Lister provides a reliable and efficient medical billing service. They have helped improve collections and lower receivables for my clients.

Pradeep Mathur,
Founder & CEO, Reliable Factor
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