End-to-End Medical Billing Solutions

End-to-End Billing Solutions

Simplify your billing processes from the front desk to the back office with our comprehensive end-to-end billing services. Virtual OfficeWare works with various medical practices across the healthcare industry to provide end-to-end billing services that ultimately enable medical personnel to focus more on patient care. Learn how our expert billing specialists can help your practice reduce administrative overhead, limit complexity and build efficiency.

Offload Your Entire Billing Management Process

Billing processes likely take up the bulk of your administrative team’s workload. Our experts understand the complexities and challenges in revenue cycle management (RCM) and apply a structured approach to provide long-term success. Take an inside look at how we can help make an impact.

Comprehensive Claims Monitoring

We monitor and resolve all claims that fail the scrubbing process, including Holds and MGRHolds. This active service allows us to oversee all medical claims, from initial submission to final payment. Monitoring your claims will also reduce denials and delays, ensuring timely and accurate revenue collection.

Code Management

Our team resequences ICD and CPT codes for accurate insurance billing documents. We also update modifiers, excluding clinical finding modifiers, which are discussed individually with your practice. Code management is crucial in your healthcare organization, impacting revenue generation, regulatory compliance and reimbursement.

Local Payor Compliance

We can resolve claims under local payor rules because we:

- Proactively identify and flag claims that need attention to maximize reimbursement and prevent denials.
- Provide dedicated staff for hands-on monitoring of local payor regulations.
- Review your payor policies and agreements to ensure compliance.
- Gain a thorough understanding of payor rules and scenarios specific to your region and specialty.
- Educate your staff and create processes and workflows to enhance reimbursements.

Claims Preparation and Resubmission

Occasionally, some claims will be denied due to simple errors. Our team can prepare and resolve claims for re-drop and resubmission, taking this administrative task off your plate.

Rejection and Denial Management

Human errors are one of the top reasons for rejected or denied claims. Our team monitors and resolves all claims that are rejected or denied. We will implement a process to automate claims to reduce these rejected claims and potential errors.

Appeals Assistance

We assist in working through appeals to secure rightful reimbursements. We work to improve the likelihood of appeal success through the following processes:

- Updating and tracking authorizations if there are changes from scheduled codes
- Offering accurate time verification for patient eligibility
- Involving documentation and appeal letters and meeting deadlines as a successful strategy

Zero Pay Claim Management

Medical billing services require following the zero balance account rate, measuring the percentage of zero balance patient accounts at the end of the billing cycle. We reach out to patients and manage zero-pay claims effectively to minimize financial losses.

Commitment to Transparency

We ensure complete transparency in our processes and communications so you know exactly what to expect from our healthcare billing services. We take a structured approach to gain a deep understanding of your unique challenges in RCM, furthering your practice's performance and income.

Our Team Makes Healthcare Billing Solutions Personal

When you partner with us, an Account Manager and Account Specialist will support you in simplifying billing inefficiencies and improving your long-term processes. We will select our team members based on your specialty and region and limit them to a select number of clients to ensure every case receives focused, personalized attention at all times.