Medical Billing Services
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SCIOMS
Scio is a Latin word meaning “to know “or “understand”; we have applied this to the business of medical billing to outstanding levels.
SCIO Management Solutions is an emerging medical billing company which provides all-inclusive solutions to managing the entire revenue cycle.
Currently we serve as back office operations and provide Medical Billing solutions for Physicians throughout the United States, with offices in Florida, Missouri, Illinois and California. Our senior management team has over 15 years experience in the medical billing management of multi-specialty medical practices. We manage the medical billing and collections
in excess of $150 million per year for our customers.
SCIO maintains 24/7 operations and staffs an extensive bench of trained personnel to fill in in-case
a team member is out.
Coding
Charge Entry Process
- Checking Appointment schedule
- Checking Insurance details
- Treatment cross verification with drug dispensary report
- CPT-DX crosswalk
- Drug audit process
- PA billing verification if any
- Medical records verification
- Need to verify the insurance specifications like authorization. Referral…etc
- Entering charges
- Charge audit
- Maintain the control log , Clarification log & Hold claims
Claims Transmission
- Electronic transmission
- Paper claims consignment which includes the secondary claims & primary claims which needs to be sent through paper
Payments Posting Process
- Downloading payment files
- Preparing deposit log
- Posting payments
- Scan EOBs
- Posting ERA's
- Tracking underpaid, fully paid
- Capturing denials |
Payments Posting Process continued…
- Payments audit
- Maintain the control log, Clarification log, ERA log…etc
- Day close - Verifying the total collections {Both Insurance & Patient} with the total deposited amount in bank
AR -Analysis
- Preparing outstanding claims report
- Analyzing the accounts
- Addressing denials
- Addressing correspondence & refund issues
- Issuing Work order
- Preparing Appeals
- Rebilling corrected claims
- Tracking denials spreadsheet
- Addressing transmission rejections
- Preparing aging report
- Preparing Practice vital sign reports
- Post call Analysis
- Preparing status based report
AR calling
- Calling & Handling issues
Insurance verification
Treatment approvals
Other Misc work
- Patient statements generation
- Patient payments audit
- Addressing returned statements |
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