Medical Billing Services – Triple Edge Technologies

Medical Billing Services by Triple Edge Technologies

Streamline Your Revenue Cycle with Precision and Expertise

In the ever-evolving healthcare industry, efficient medical billing is crucial for maintaining steady cash flow and reducing administrative burdens. At Triple Edge Technologies, we provide comprehensive medical billing services that optimize revenue cycle management, reduce errors, and ensure timely reimbursements. Our team of experts leverages the latest technology and industry best practices to simplify the complexities of medical billing, so you can focus on delivering exceptional patient care.

A Comprehensive Suite of Solutions for Optimized Revenue Management

At Triple Edge Technologies, we leave no stone unturned when it comes to providing the most detailed and precise medical billing services. Each service is designed to address the unique challenges faced by healthcare providers, ensuring you maximize revenue and minimize administrative burdens.

Patient Demographics Entry

Visual appeal is crucial to a book’s success. We create eye-catching designs and layouts that enhance the reading experience.

Custom cover design to reflect your book’s theme
Interior formatting for print and eBook versions
Typography selection for readability and aesthetic appeal

Insurance Verification & Authorization

We verify insurance coverage and obtain pre-authorization to avoid claim denials.

Eligibility checks for primary and secondary insurance
Verification of policy limits and covered services
Pre-authorization for high-cost procedures and treatments
Notification of out-of-pocket expenses to patients

Medical Coding Services

Our certified coders ensure that all services are properly coded to meet industry standards.

ICD-10, CPT, and HCPCS Coding: Accurate coding for diagnoses, procedures, and supplies.
Specialty-specific coding for different medical fields
Regular updates to incorporate changes in codes and regulations
Coding audits to ensure compliance and accuracy

Claims Submission

Submitting clean claims is vital for timely reimbursements.

Electronic and paper claims submission to insurance carriers
Use of clearinghouses for faster claim processing
Error checking and correction prior to submission
Coordination with insurance providers to confirm claim acceptance

Denial Management & Appeals

When claims are denied, we step in to resolve the issues and recover lost revenue.

Identifying the root cause of denials (coding errors, missing documentation, etc.)
Filing appeals with proper supporting documents
Continuous follow-up until resolution
Prevention strategies to avoid future denials

Accounts Receivable (AR) Management

We track and manage outstanding payments to improve cash flow.

Monitoring unpaid claims and patient bills
Aggressive follow-up with insurance providers for overdue payments
Detailed AR aging reports for better financial insights
Strategies to reduce aging accounts

Payment Posting & Reconciliation

Ensure accurate tracking of payments received and outstanding amounts.

Posting insurance payments (EOBs, ERAs)
Adjusting write-offs and contractual allowances
Reconciling payments with patient accounts
Identifying underpayments or overpayments

Patient Billing Services

Provide your patients with clear, transparent billing statements and assistance.

Customized patient statements with detailed breakdowns
Online payment portals for convenience
Friendly reminders for overdue balances
Handling patient billing inquiries and setting up payment plans

Reporting & Analytics

Understand your practice’s financial health with our detailed reports.

Monthly, quarterly, and annual revenue reports
Claims performance analysis (submission-to-payment timelines)
Denial rate tracking and improvement insights
Financial forecasting to aid in practice growth

Compliance Management

Stay compliant with healthcare regulations to avoid penalties and fines.

HIPAA-compliant data handling and storage
Adherence to Medicare, Medicaid, and private insurance guidelines
Regular audits to ensure all processes meet regulatory requirements
Updates on changes in billing laws and coding standards

Credentialing & Contracting

Expand your network by getting credentialed with insurance providers.

Preparing and submitting provider credentialing applications
Maintaining up-to-date provider information
Contract negotiation with insurance companies
Renewing credentials and handling terminations

Specialty Billing Services

We provide tailored billing services for various healthcare specialties, including:

Cardiology: Coding for specialized tests like ECGs, angiograms, and more.
Orthopedics: Handling complex coding for surgeries and physical therapies.
Radiology: Expertise in coding diagnostic imaging services.
Behavioral Health: Special billing practices for therapy sessions and psychiatry.
Physical Therapy: Claims for rehabilitation and therapy sessions.
Dentistry: Integration of dental and medical billing for maximum coverage.

Telehealth Billing

Navigate the complexities of remote healthcare billing with our telehealth expertise.

Compliance with telehealth billing guidelines (Medicare, Medicaid, private insurers)
Coding for teleconsultations, remote monitoring, and e-visits
Insurance verification for telehealth coverage
Handling state-specific telehealth regulations

Workers’ Compensation & No-Fault Billing

Simplify billing for workers’ compensation and no-fault insurance cases.

Detailed claim preparation with required documentation
Coordination with employers and insurers
Regular follow-ups for quicker reimbursements

Revenue Cycle Consulting

Optimize your practice’s financial health with our consulting services.

Identifying inefficiencies in your billing process
Implementing best practices for revenue cycle management
Training staff on billing and compliance
Building custom strategies for revenue growth

Our Advanced Technology Tools

We leverage cutting-edge software and tools to ensure efficiency and accuracy:

Electronic Medical Records (EMR) integration for seamless data transfer
Automated claims scrubbing to reduce errors
Real-time insurance verification systems
Advanced analytics platforms for financial insights

Transform Your Practice with Reliable Medical Billing Services

At Triple Edge Technologies, we understand the critical role accurate medical billing plays in the success of your practice. Let us handle the complexities while you concentrate on your patients. Partner with Triple Edge Technologies—because your patients deserve your undivided attention.

Simplified Billing. Maximized Revenue. Focused on Care.