Medical Billing Services by PHI Billing
At PHI Billing Services, we provide end-to-end medical billing solutions designed to optimize revenue cycle management, reduce claim denials, and ensure maximum reimbursements for healthcare providers. Our tailored solutions enhance efficiency, improve cash flow, and minimize administrative burdens, allowing healthcare professionals to focus on patient care while we handle the complexities of billing and collections.
Why Choose PHI Billing for Medical Billing Services?
Proven Expertise in Medical Billing
- Our specialists have extensive experience handling multi-specialty claims across various healthcare sectors.
- We stay updated with the latest CPT, ICD-10, and HCPCS coding regulations to prevent coding-related denials.
- Our billing team is trained in payer-specific guidelines to ensure faster claim processing.
Comprehensive Revenue Cycle Management (RCM)
- We take a proactive approach to claim tracking, denial management, and payment posting.
- We reduce your Accounts Receivable (A/R) aging by aggressively following up on unpaid claims.
- Our team analyzes trends in denials to prevent future revenue loss.
Tailored Solutions for Every Healthcare Provider
- We offer customized billing services to fit the unique needs of hospitals, clinics, and individual providers.
- Our services integrate seamlessly with any billing software, reducing the need for extensive training.
- We offer flexible pricing models, ensuring cost-effective solutions without compromising quality.
Our Core Medical Billing Services
1. Claims Follow-up – Ensuring Timely Reimbursement
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- Daily tracking of claim statuses to prevent delays.
- Proactive communication with insurance companies to expedite payments.
- Regular aging reports to identify claims approaching the timely filing limit.
- Resolving pending, underpaid, or incorrectly processed claims before they become revenue loss.
2. Claims Denial Management – Reducing Denials & Maximizing Revenue
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- Root cause analysis of denials to identify common patterns.
- Corrective action strategies to address coding errors, missing documentation, or eligibility issues.
- Automated denial tracking system to ensure reprocessing within appeal timeframes.
- Appeals process optimization to recover revenue from unjust denials.
3. Claims Collection – Maximizing Revenue Recovery
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- Systematic follow-ups on overdue claims to reduce A/R days.
- Multi-channel approach (calls, emails, and written requests) to ensure payer responsiveness.
- Negotiating underpayments and incorrect reimbursements to secure full payment.
- Advanced reporting to track outstanding claims and improve collection efficiency.
4. Charge Entry & Submission – Accurate & Efficient Claims Processing
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- Detailed charge review to ensure coding accuracy before claim submission.
- Verification of billing compliance with payer policies.
- Automated claim scrubbing to minimize rejections due to incomplete or incorrect data.
- Faster claim submissions through electronic processing and payer integration.
5. Payment Posting – Real-time Reconciliation of Payments
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- Automated ERA processing for accurate posting of insurance payments.
- Denial and underpayment identification during payment posting.
- Daily reconciliation of accounts to match payments with billed services.
- Comprehensive financial reports for revenue tracking.
6. Insurance Verification & Eligibility Checks – Preventing Claim Rejections
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Real-time insurance verification to confirm coverage details before services arerendered.
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Prior checks for deductibles, copayments, and out-of-pocket costs.
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Eligibility screening for Medicare, Medicaid, and commercial insurances.
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Reduction of claim rejections due to coverage-related issues.
7. Prior Authorization Assistance – Securing Approvals to Prevent Denials
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- Pre-certification and pre-authorization assistance to secure approvals before treatment.
- Documentation support to justify medical necessity and avoid delays.
- Regular status checks to prevent procedural cancellations.
- Direct coordination with payers to expedite authorization approvals.
8. Appeals & Resubmissions – Recovering Lost Revenue
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- Review and correction of denied claims before resubmission.
- Preparation of strong appeal letters with supporting medical documentation.
- Timely resubmission of rejected claims to meet payer deadlines.
- Monitoring claim outcomes to ensure successful appeal resolutions.
9. Patient Billing & Statement Generation – Streamlining Patient Payments
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- Clear, easy-to-understand statements to prevent patient confusion.
- Online payment options for convenient bill settlement.
- Automated payment reminders via email, text, and phone.
- Customizable billing solutions for different patient financial situations.
10. Revenue Cycle Analytics & Reporting – Data-Driven Insights for Better Decisions
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- Comprehensive RCM performance reports to track revenue trends.
- Denial pattern analysis to identify areas for improvement.
- Real-time claim monitoring dashboards for transparency.
- Custom reporting solutions tailored to practice needs.
Why Clients Choose PHI Billing Services Over Others?
1. Transparency & Accountability
- We provide real-time claim tracking and detailed reporting to ensure complete transparency.
- Our clients receive customized performance reports to measure revenue efficiency.
- We follow a no-hidden-fees policy, ensuring complete financial clarity.
2. Cost Savings & Efficiency
- Our services are priced 40-60% lower than in-house billing operations.
- We eliminate costs related to hiring, training, and maintaining an in-house billing team.
- Our efficient workflows reduce denial rates by up to 30%.
3. Advanced Technology & Integration
- We work with all major medical billing software like Epic, Athenahealth, Cerner, and more.
- Our use of AI-powered claim tracking improves reimbursement turnaround times.
- We ensure seamless integration with EHR/EMR systems for optimized workflows.
4. Dedicated Account Managers & Expert Support
- Each client is assigned a dedicated account manager for personalized service.
- Our 24/7 support team ensures quick resolution of any billing concerns.
- We offer comprehensive training & consulting to improve your billing operations.
How PHI Billing Services Stands Out in Mecial Billing?
1. Proven Success & Client-Centric Approach
- We provide tailored solutions with 100% transparency and accountability.
- Our services are built around customer experience and operational efficiency.
- 24/7 client support & dedicated managers to address concerns in real time.
2. Competitive Pricing with High ROI
- Flexible and scalable pricing ensures maximum ROI for clients.
- Cost-effective outsourcing with no additional investment in infrastructure.
- Value-added services such as data insights, reporting, and business consulting.
3. Quality Assurance & Performance Excellence
- Advanced QA systems ensure that all interactions meet high service standards.
- Ongoing training programs to keep agents updated with industry trends.
- Real-time call/chat monitoring to maintain quality and efficiency.
4. Business Growth & Efficiency
- Our BPO solutions allow you to focus on core business growth while we handle operations.
- Proactive strategies to improve business processes and customer engagement.
- Long-term partnership approach for sustained business success.
Why Global Businesses Trust PHI Billing Services?
✔ Trusted by Fortune 500 companies for high-accuracy data management.
✔ ISO-certified data entry services ensuring global best practices.
✔ Over 10+ years of industry experience in handling complex datasets.
✔ 24/7 operational support for businesses in different time zones.
✔ End-to-end solutions from data entry to analytics and reporting.
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PHI Billing Comprehensive Pricing Plans
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