Revolutionizing Medical Revenue Management
In the intricate landscape of healthcare, where precision and efficiency are paramount, FineClaim emerges as a beacon of excellence. With millions of dollars lost annually due to billing errors, coding errors, and missed charges, the need for a robust billing service cannot be overstated. FineClaim steps in as the solution, leveraging professional expertise, cutting-edge technology, and a commitment to excellence to streamline medical billing processes and optimize revenue management for healthcare providers and hospitals.
At FineClaim, we focus on medical billing as it is the most crucial part of revenue cycle management. Providers lose millions of dollars because of incorrect billing of the claims resulting in increased accounts receivable, patient outstanding AR, increased rejections from insurance, and many more. Our team of experts focuses on the elimination of coding errors, missed charges, billing issues, and EDI rejections. We focus on increased cash inflow by eliminating billing hassles so our providers can focus on their practice.
Understanding Unique Provider Needs
At FineClaim, we understand that each healthcare provider has unique requirements. Our service portfolio is designed to address these diverse needs comprehensively, ensuring seamless integration with existing workflows and maximum efficiency.
Core Services Overview
Charge Entry We streamline the process by obtaining information from providers and practices, meticulously entering it into our database.
Insurance Verification Verifying patient insurance coverage and eligibility to determine the extent of coverage for medical services.
Medical Coding Assigning appropriate medical codes to diagnoses and procedures based on medical records, ensuring compliance with insurance regulations.
Claim Submission Transmitting claims electronically or via paper to insurance companies for reimbursement.
Payment Posting Recording payments received from insurance companies and patients, and reconciling accounts.
Quality Process Ensuring Accuracy and Efficiency
At FineClaim, quality is non-negotiable. We implement a stringent quality assurance process with two levels of checks to minimize errors and ensure prompt and accurate settlement of claims.
Stage I
Meticulous Review: Our quality assurance team meticulously reviews each entry of demographic and charge fields in the billing software, significantly reducing errors.
Maximum Accuracy: Audits are conducted to ascertain maximum accuracy, with every field in demographics and charges undergoing thorough scrutiny.
Stage II
Random Checks: Entries undergo random checks for errors, ensuring the accuracy of critical fields such as patient name, DOB, insurance ID, CPT codes, ICD codes, modifiers, and more.
Electronically Submitted: Claims meeting quality standards are electronically submitted to insurance companies for processing.