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Billing can be a complex and time-consuming process. It requires a significant amount of attention to detail and knowledge of insurance regulations and reimbursement policies. At Orizon Consulting, we offer comprehensive billing services to help streamline the billing process and ensure that your business is getting paid for the services it provides.

Claims Submission

Our team of billing experts ensures that all claims are submitted accurately and timely. We review all claims for accuracy and completeness, ensuring that they meet all necessary requirements for payment. We also track each claim from submission to payment, providing you with regular updates on the status of your claims.

Payment Posting

We post all payments received from payers promptly and accurately, ensuring that your business is paid for services rendered. Our team of billing experts reconciles all payments to the corresponding claims to ensure that payments are posted accurately.

Denial Management

Our team is well-versed in insurance regulations and reimbursement policies. We work tirelessly to prevent claim denials by ensuring that all claims meet necessary requirements for payment. If a claim is denied, we work to appeal the decision and get your business paid for the services provided.

Reporting

We provide regular reports on the status of your agency’s billing, including detailed information on claims submitted, payments received, and outstanding balances. Our reports give you insight into your agency’s financial performance and help identify areas where improvements can be made.

FAQs

What is healthcare billing?
Healthcare billing refers to the process of submitting and managing claims for medical services rendered to patients. It involves generating invoices, documenting services provided, and communicating with insurance companies or patients to ensure proper reimbursement.
Why is healthcare billing important?
Healthcare billing is essential for healthcare providers to receive payment for the services they render. It ensures financial stability for the provider, facilitates proper documentation of patient care, and helps maintain the viability of healthcare practices.
What types of insurance do healthcare service providers typically bill?
Healthcare service providers typically bill various types of insurance, including private health insurance plans, government-sponsored programs like Medicare and Medicaid, workers’ compensation insurance, and managed care plans such as HMOs and PPOs.
What is the process for healthcare billing?
The process for healthcare billing typically involves several steps:

  • Gathering patient information and verifying insurance coverage
  • Documenting services provided, including diagnosis and treatment codes
  • Submitting claims to insurance companies or government programs
  • Following up on claim status and resolving any issues or denials
  • Reconciling payments received with services rendered and addressing any discrepancies
What are some common challenges that healthcare service providers face with billing?
Common challenges in healthcare billing include:

  • Complex and changing insurance regulations and policies
  • Errors in coding or documentation leading to claim denials or delays
  • Timely submission of claims and follow-up on unpaid or denied claims
  • Managing patient billing and collections, including addressing patient inquiries and payment plans
  • Keeping up with technological advancements and electronic billing requirements
  • Ensuring compliance with healthcare privacy laws and regulations, such as HIPAA.

Get in Touch

Send us a message today to learn more about how we can help you.