Billing Services

MediNomics provides physician practices, hospitals and other facilities with sophisticated outsourced billing services that improve efficiency and reimbursement. MediNomics uses industry-leading claims scrubbing capabilities to reduce the claims denials and rejections that impact your cash flow. Besides eliminating your billing hassles, MediNomics’ Billing Services typically pay for themselves in terms of increased reimbursement and collections.

 

Billing Service Components
The MediNomics’ Billing Services team includes experienced certified coders and billing staff, and
each client is led through an implementation process with a project manager. The project
manager coordinates the implementation with our internal teams. Following implementation, each
client is assigned to an accounts receivable management team that provides ongoing support and
communication on the status of your accounts. Together, these experienced professionals provide
you with a seamless and smooth experience from the data collection process, through
reimbursement, and until accounts are resolved. Components of our Billing Services include:

Components
Data Collection	We streamline the process of receiving patient registration and charge data, while providing you with the option of utilizing workflow developed through our integrated EMR, scanning documents and sending it to us via our secure FTP connection or processed through our mail room. Clients have the option of sending their source documentation for abstracting and coding.
Eligibility   Checks	Our system allows for automated Web-based eligibility checks prior to patient check-in, supporting front-desk insurance verifications, co-pay confirmations, co-insurances, and deductible risk.
ClaimsnCreation  and Scrubbing	Our rules engine is automatically updated with the latest CCI and NCD LCD data. Additionally, our rules engine is customized based on the variety of experiences we have encountered with different coding combinations, payers, and requirements for front-desk compliance, which enables us to create cleaner claims that get processed faster.
Claim  Submission	We submit claims electronically to all payers that allow it, and send paper claims to payers that require it.
Patient Account  Management	All patient account and related demographic data is maintained and updated in our system. We can even handle and resolve your patient inquiries for you, freeing your staff to focus on patient care.
Claims Status	MediNomics electronically checks the status of your claims, works electronic and paper rejections and automatically inquires about claims that have aged beyond our pre-defined criteria. We even resubmit claims for you when they are lost by payers.
Denial  Management	Denials and rejections are researched by our team to seek resolution. We’ll resubmit claims for you and even file appeals on your behalf. To minimize rejections, we update our claims scrubbing system when denials or rejections are due to changes in payer requirements.
Reimbursement  Management	Reimbursements are handled by our staff and posted to your account, which is documented in our reporting process. Reimbursement is reconciled against payer contracts to ensure your practice is paid according to its contract.
Collections	Our monthly collection process entails the sending of monthly statements, past-due notices, customized letters, and includes placing phone calls. MediNomics’ collection fees are directly related to our ability to collect the past-due balance. If we don’t collect, we don’t get paid, which is a strong incentive for us to work hard on your behalf.
Management  Reporting	You can monitor every step of the process with MediNomics’ comprehensive management reports that detail outstanding accounts receivable balances, charges, payments, adjustments and collection rates, as well as track monthly, quarterly and annual trends. These reports are available electronically and increase our accountability, earn your trust, and enable us to re-earn your business month after month.
Secure Data  Handling	We take your data security and privacy seriously, which is why we employ the latest technology to keep your information safe. Our FTP server uses secure socket layer (SSL) encryption. We’ve invested heavily into our secure data center so our redundant data storage and power supplies keep your data secure and available when you need it.