Medical Billing Services for Virginia Practices Streamline Revenue, Reduce Denials
Boosting practice revenue through billing optimization and reducing billing errors and claim rejections. Virginia medical billing consultancy services offers transparent billing dashboards for medical practices, helping making informed decisions backed by data.
About Us
Virginia medical billing services for practices resolve the chronic RCM issues like late medical claims submission, ineffective denial management and collections, etc. Our medical billing and coding team constantly updates the practices to ensure complete HIPAA compliance and claim submission according to varying payer policies.
We are one of the most trusted outsourced medical billing companies in Virginia, delivering cost-effective and reliable revenue cycle management solutions nationwide. We are a preferred medical billing services platform for more than 6000 providers, offering a range of solutions like easy EHR / EMR integration, accounts receivable optimization, and 99% clean claims rate. We help healthcare professionals nationwide focus on patient care and we care for their practice’s revenue growth.
Why Healthcare
Organizations Choose Us
Even with the presence of hundreds of medical billing companies in Virginia, more than 6500 providers have chosen us as their preferred medical billing partner because:
We minimize claim
denials by more than 70%- We reduce operational
costs by 50%
- Our medical coders are
AHIMA & AAPC-certified
- We reduce 100% revenue
loss by coding errors
- We provide transparent
data analytics reporting for transparency
- We manage all patient
claims and submit them within 24-hour
- We optimize medical
billing process by AI-driven automation
- Our medical billing team
has command on all EHR/EMR softwares
- Our RCM solutions are
tailored for every specialty, offering best results
Our Medical Billing Services:
What We Cover
Claims Submission (electronic & paper)
By outsourcing medical billing and revenue cycle management in Virginia, practices can submit error-free claims on time and ensure faster reimbursements.
Eligibility Verification & Insurance Enrollment
A rapid insurance eligibility verification process eases the billing process and reduces denials. We offer credentialing and payer enrollment services so providers may connect with various payers.
Charge Entry / Coding / CPT & ICD-10 Accuracy
Our AHIMA- and AAPC-certified coding specialists ensure accurate diagnostic and procedural coding using the latest CPT, ICD-10, and HCPCS guidelines.
Denial Management & Appeals
24/7 claims tracking and denial management allow our experts to identify root causes of denials and file appeals for maximum recovery.
Accounts Receivable Follow-up & Recovery
Consistent follow-up on unpaid and underpaid accounts by a dedicated team make sure all past dues backlogs are cleared and the owed amount is recovered from payers.
Patient Billing & Statements
Prompt insurance verification, obtaining prior authorization support timely patient billing and clean claim submissions. Patient statements are provided via email to strengthen transparency between provider and patients.
Specialty Billing Expertise
We have extensive specialty billing expertise (e.g. mental health, dermatology, pediatrics, surgery) in Virginia healthcare reimbursement / payer rules, allowing you to get tailored RCM solutions.
Technology & Process:
Accuracy, Speed & Transparency
- 99.8% Clean claims rate
- 24-48 hours Turnaround
time
Audit & rule-engine for
catching errors before submission- Dashboard / client
portal: visibility into claims, A/R, denials, cash flow
- EHR / EMR integration
with all software systems
Compliance & Certifications
- HIPAA-Compliance
- AHIMA & AAPC-certified
Coders
- Staying up-to-date with
CPT / ICD-10 / HCPCS Codes
- 100% Compliance with CMS
& Commercial Payer Rules
- 100% Compliance with
False Claims Act (FCA)
- 100% Compliance with
Anti-Kickback Statute (AKS)
- 100% Compliance with
Stark Law (Physician Self-Referral Law)
- DBHDS Licensing
(Department of Behavioral Health and Developmental Services)
Medical Billing Services Tailored
For All Specialties
Our medical billing services in Virginia are custom-made for more than 100 medical
specialties and practices across the US including:
Frequently Asked Questions (FAQs)
Virginia medical billing company’s RCM experts have vast experience in Medicaid VA and Medicare billing and coding practices. Our healthcare billing experts stay updated with local, state and federal healthcare guidelines and help your practice in compliance with regulations. In addition to Medicaid and Medicare billing, our team has extensive experience with commercial payers such as Blue Cross VA, Aetna, and United Health care to support your practice in compliance with their reimbursement policies.
Additionally, we provide our billing and coding team refresher training on CMS (Centers for Medicare & Medicaid Services) protocols, helping your practice to get maximum benefits from treating patients under this insurance plan.
If any of your medical claims are denied, our dedicated claim denial management team initiates comprehensive investigation into the reasons leading to such outcomes. Communication is maintained with insurers for resubmission of claim after edits. We file appeals after this process, ensuring the claim is accepted by payers and the amount is reimbursed without any excuse from insurers.
No. Our medical billing solutions are tailored for all medical specialties irrespective of their practice size, type, patient pool and location. We serve all providers and ensure our revenue cycle management services are designed for their specific needs so they can easily handle challenges damaging their collections and performance.
Yes, our medical billing services in Virginia are designed for easy integration with all medical billing, EHR, EMR systems easily. Additionally, our RCM team has full knowledge and experience of working with latest EHR softwares including:
- Kareo
- AdvancedMD
- Athenahealth
- eClinicalWorks
- DrChrono
- Office Ally
- Practice Fusion
- NextGen
- Cerner
- Epic
If your preferred EHR system is not listed, we are happy to evaluate compatibility and tailor a solution for your practice.
Virginia medical billing company helps practices get better results by outsourcing its industry’s best RCM services and see 30-50% improvement in their revenue. We streamline your billing process and the healthcare organization will be able to see the results within 4-6 weeks. We reduce claim denials by over 50%, increase clean claim rate by more than 90% and maximum collection.