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Medical Claims Management

Medical Claims Management

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Medical Claims Management

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  1. Medical Claims Management

  2. About Us • MediClaimsManagement is a provider of innovative healthcare revenue cycle management solutions that transform the administrative and clinical operations of healthcare organizations of all sizes. • MCM services and systems are designed to get you paid faster, reduce denials, track claims efficiently.

  3. Our world-class billing processes include electronic claim submission, claim tracking, denial tracking and updated CPT codes. • We deliver a uniquely customized service to international hospitals, physician, and ambulance companies.

  4. Our Mission • As medical billing management experts we are resolved to dependably and flawlessly offer world-class solution focused on your bottom-line • Our skilled and dedicated team delivers operational excellence with specialized expertise.

  5. Revenue Cycle Management Revenue Cycle Management is the process used by healthcare systems in the United States to track the revenue or encounter with the healthcare system to their final payment of balance.

  6. RCM Process

  7. Pre Visit • Pre insurance eligibility check • Data entry of patient demographic and insurance information • Patient appointment , remainder calls • Patient collection tools

  8. Claims Submission • Medical coding , claims submission and follow • Patient invoicing • Electronic Payment and e-statements • Denial Management and tracking with payers

  9. Financialreporting • Customized financial reporting • Monthly update Medical Claims Management Ensures Your Practice gets paid in an optimized and timely manner.

  10. Payment Posting and Reconciliation • Electronics remittance advice • Cash balance reconciliation

  11. Services • Physician Billing & Claims Management • Medical Billing • Medical Coding • Ambulance Billing • Providing Proprietary Software & Devices • Electronic Billing and Filling • Legal Expert Consulting Services

  12. International Claims Management • MediClaimsManagement has developed a unique system for international hospitals to optimize revenue and recover funds quickly. • MCM is proficient at providing our clients with the necessary tools to properly manage their international portfolios.

  13. Hospital Medical Claims Process 2. HOSPITAL SENDS MED-X PATIENT INVOICE WITH ALL NECESSARY HIPPA SECURED DOCUMENTS. 3. MED-X’S TEAM PROPERLY FORMATS TO MEET INUSRANCE COMPANY REQUIRMENTS . 4. MED-X’S IN HOUSE LEGAL TEAM REVIEWS MEDICAL RECORDS AND INVOICE FOR PROPER SUBMISSION TO INSURANCE COMPANY AFTER ANALYSIS. 1. HOSPITAL TREATS FOREIGN PATIENT FOR EMERGENCY SERVICES. 6. INSURANCE COMPANY SENDS PAYMENT TO LOCK-BOX/BANK ACCOUNT FOR DISTRIBUTION. 5. MED-X’S LAWYERS NEGOTIATE INVOICE PAYMENTS WITH INSURANCE EXECUTIVES FOR HIGH DOLLAR AMOUNTS.

  14. Contact Us Medical Claims Management Address PO Box 720 Matawan, New Jersey 07747 Cell No 917 965 5544 Email info@mediclaimsmanagement.com Website www.mediclaimsmanagement.com

  15. WWW.MEDICLAIMSMANAGEMENT.COM