medical billing
Our Medical Billing Services
Soho Tech Services, named after the renowned Soho neighborhood, is a medical billing company specializing in outsourcing solutions. We offer comprehensive Revenue Cycle Management (RCM) and billing services to healthcare professionals and facilities nationwide. Our services include efficient charge entry, payment posting, coding, and accounts receivable collections, aiming to boost our clients' practices by identifying denial trends, addressing old claims, and providing strategic guidance.
Beyond billing, our offerings encompass credentialing, insurance contract review and negotiation, and the development of optimized super-bills. Soho Tech Services strives to be a hub of excellence, creativity, and business acumen, contributing to the success of healthcare providers through exceptional results and innovation.
Boost Your Revenue With Us
We believe that every dollar counts and we take the initiative of a very hands-on and involved approach in the billing process of every medical organization that we work with. we take care of you, your patients, and your practice.
WE BELIEVE THE BOTTOM LINE CAN ALWAYS IMPROVE
WE BELIEVE YOUR PATIENTS MATTER
WE BELIEVE YOUR TIME IS IMPORTANT
WE BELIEVE YOUR NEEDS ARE UNIQUE
Our Process
Patient registration /check-in
During patient registration, also known as check-in, a medical biller collects basic information about the patient, such as their name and address, and asks the patient for their insurance coverage information. This insurance information is collected up front in order to be verified.
Insurance verification and eligibility
After checking the patient into the care facility, the medical biller ensures that the insurance information is correct. Then, they determine whether or not the patient’s procedure is eligible to be covered by their insurance.
Patient demographics are entered into PMS
During the intake process, demographic information is also collected from the patient. This includes information about the patient’s age, sex, race and any other relevant factors. Some of this patient information may be relevant to the procedure in question, or it may be collected for statistical analysis by insurance or government entities or the care facility itself.
Get medical records for CPT and ICD-10 coding
After gathering demographic information, the medical biller works with a medical coder to obtain medical records. These medical records are passed on to relevant parties who need to access specific information about the patient’s medical history.
Medical coding documents sent for charge entry
Once all the information about the patient has been gathered, the charge entry process begins. Charge entry involves assigning a dollar amount to the patient account based on the procedures performed during their stay at the care facility. This results in a claim that will be sent to the insurance company.
Claims submission to insurance
After being scrubbed of any errors, the claim is sent to the insurer to determine what will be covered by each party. If the claim is rejected for any reason, the medical biller will update the record and note the reason for the rejection.
Payment posting
Once the claim has been submitted and paid, the payment is posted by the medical biller. The payment is logged within medical billing software in order to provide a view of the care facility’s finances. This process also helps catch medical errors by adding another step where the payment amount must be viewed by additional parties for greater accuracy.
Accounts receivable follow-up
To ensure timely payment, medical billers reach out to paying parties in order to collect any owed payments (also referred to as accounts receivable). This may involve contacting a patient for payment or reaching out to an insurance company to confirm receipt.
Denial management
In the event that a payer – whether they be a patient or an insurance company – refuses to pay, the process enters a denial management phase. During this portion of the process, the biller performs root cause analysis to determine whether the denial of payment is valid and files an appeal of the denial.
Reporting sent to client
Finally, once the billing process is complete, the biller creates a report that provides key metrics to the care facility. These metrics will likely include elements such as the payment received, procedure performed and the total number of adjustments in the claims process.
Client testimonials
That led me to move my medical billing function to them. They have helped me streamline my billing process, reduce errors, and increase my revenue. They have a team of skilled and knowledgeable professionals who handle every aspect of the billing cycle, from coding to claim submission to follow-up. They have a denial rate of less than 2%, which is remarkable in this industry. They also provide me with timely and accurate reports that help me monitor my financial performance and identify areas of improvement. I highly recommend Soho Tech Services to any medical practitioner who wants to outsource their billing function and focus on their core competency.
Mustafa Pirzada M.D.