CareSync Medical Billing excels in effective claim Preparation, ensuring accurate capture of patient information, assignment of appropriate medical codes, precise completion of claim forms, thorough documentation review, and timely submission to insurance providers. This meticulous approach maximizes reimbursement and facilitates timely payments for healthcare providers, optimizing their financial performance.

Introduction

The Procedure of claim preparation at CareSync Medical Billing is to ensure accurate, timely, and compliant claim submissions.

1. Data Collection and Verification
Verify patient and insurance information for accuracy and completeness.

2. Medical Record Review
Assign appropriate diagnosis and procedure codes and determine the level of service.

3. Charge Entry
Refer to the fee schedule and apply necessary modifiers for accurate charges.

4. Claim Generation
Generate electronic or paper claims, ensuring accuracy and completeness.

5. Claim Review and Submission
Thoroughly review and submit claims, following payer requirements.

6. Claim Follow-up
Monitor claim status, address denials, submit appeals, and post payments.

7. Collections
Send bills to patients and pursue unpaid insurance claims.

8. Compliance
Ensure compliance with HIPAA, payer rules, and state and federal laws.