End To End Medical Billing Services, Securing Each Possible Reimbursements
NW Manager provide top notch medical billing services to providers of all specialties nationwide. Our unique medical billing services helps providers to focus more on seeing patients while we take care of their medical billing tasks from A to Z. We have well educated, skilled and experienced team which is always there to help the clients and go extra miles to achieve the required goals in timely fashion for medical billing.
Patient Demographic Entry
As one erroneous data entry can lead to the rejection of all the claims of a patient so our data entry professionals assure the accuracy of each entry of the patient information resulting in the successful processing of claim.
Insurance Eligibility Verification
Eligibility for each patient for every date of service is verified from website, IVR or live call so that claims get processed in right way. This also includes the verification of coordination of Benefits as well. NW Manager eligibility verification team also calculate the patient’s responsibility to be collected upfront from each patient so that front office staff can collect it at the time of visit.
CPT and ICD-10 Coding
We are proficient in CPT & ICD usage which ensure the reimbursable completion of Charge as per LCD/NCD guideline. We continuously update ourselves regarding any coding changes (ICD & CPT changes/ specially HCPC codes updates) to avoid your revenue cycle delay.
Our Medical Billing professionals will create appropriate medical claims/bills according to billing rules pertaining to specific carriers and locations. All medical claims are created within agreed turnaround times.
Claims Review Before Submission
A systematic audit and checking of the completed medical claims is performed at multiple levels before submission. The medical claims are checked for valid and complete information, correct procedure and diagnosis codes and actuality of all other relevant information about the patient since incomplete/incorrect information is one the single most common cause for denial of medical claims.
Submission of Claims
The complete audited claims are submitted to payers electronically/paper (with necessary documentations if required) in a timely fashion. NW Manager submission team also maintain a log for all submissions of batches and their acceptance or rejection reports in terms of 277/276 EDI reports.
Payments are posted by Electronic Remittance Advise/Explanation of Payments with high proficiency & denied claims forwarded to Follow-up Team for further processing. Payments are also reconciled on daily basis to have the actual picture of payments.
Secondary Claims Submission
Most of the insurances cross over bills to secondary insurances where patients’ COB is updated properly and both insurance i.e. primary and secondary support electronic submission. And where insurances are not supporting electronic crossover submission we need to send secondary bills immediately after posting the payments using primary ERA and EOB’s. We at NW Manager sends the secondary insurances billing along with primary EOB’s so that every possible reimbursement is received from payers.
Accounts Receivables Follow-up
This involves the aggressive follow up by our professional Medical Billing team in taking the correct action against denial/pending claims for reimbursement. This includes the argumentation/negotiation with insurance representative to get the claims paid in full. Appeals are also processed in a case if a claim goes out of timely filing limit.
Effective Communication With Reports
Work status reports are sent to the client's office on a daily basis. Other weekly, monthly, biannual & annual reports are also compiled to show progress of business. Beside these, a dedicated account manager will be calling you for the following:
1- Daily Routine Queries Questions
2- Weekly Progress Meeting
3- Monthly Progress Analysis
4- Biannual/Annual Reports