Nohitatu team is dedicated to accurate capture of patient details. Not only does the data captured in the demographic entry process form the base for the medical record, but it also affects insurance claims payment. Medical Billing Services Error-free capture of patient information is essential for clean claim submission and facilitates quick processing of claims by Payers.

Nohitatu provides accurate medical coding and billing services to reduce denials and generate more revenue for our clients. Our experienced and well-trained coders are proficient in medical coding services. We have a team of certified medical coders, who maintain the highest level of accuracy in medical coding. By meeting and exceeding the industry standards without compromising on quality.

The reimbursements for the services provided by the healthcare provider, as managed through "Medical Billing Services", is dependent on the charges entered for the medical services performed. This must be completed without any errors, as it may increase claim denials. Reduce revenue leakage through an adequate review of medical services provided and save millions of dollars of lost revenue. We ensure effective collaboration between the coding and the charge entry teams to ensure that the charges captured are accurate.

Claims submission is the process of reviewing the claims filed to insurance companies using the practice management system and clearinghouse interface before submission to insurance payers. Medical Billing Services play a crucial role in facilitating this process efficiently. The process throws back work edits and rejects that are required to be corrected prior to submission to insurance payers.

The payment posting process, in many ways, provides proof of how effective your revenue cycle is. As the process is, often, operated at scale with significant automation, the method also enables you to understand trends in reimbursements and perform analytics. It is therefore imperative that you choose a highly efficient team in Medical Billing Services to understand the effectiveness of your medical billing cycle.

We process different types of remittances received with a high degree of accuracy, improved responsiveness, and as per procedures defined by our clients. We perform the following Medical Billing Services:

• Patient Payments: We receive information on any point of service payments made by patients from our clients. These payments are made via cash/check/credit cards and could be on account of co-pays, deductible, or for non-covered services. Our team reviews the information received and adjusted the same against each patient account.
• Manual Insurance Posting format: Our clients often send us scanned EOBs. Each EOB batch is accessed via secure FTPs, or through the EHR system, and processed in line with the client’s business rules for adjustments, write-offs and balance transfer to secondary insurance companies or the patients.
• Denial Posting: Posting of claim denials is essential to get an accurate understanding of the customer’s A/R cycle. Denied claims are sent back by the payers in the form of ANSI codes for denials and sometimes with payer-specific medical codes. We understand the payer-specific codes for most payers and have expertise in understanding ANSI standard denial codes. Each claim denial is posted in the practice management system, and actions are initiated to re-bill to the secondary insurance company, transfer the balance to the patient, write-off the amount, or send the claim for reprocessing.
• Correspondence: We receive scanned paper letters which are also referred to as Denial letters representing a variety of health plan/payer communications. Our team reads the letters and takes the request to the next level.

We enable medical practices to reduce days in A/R with our timely Medical Billing Services follow-up services that ensure you adequately understand the reasons for delays in accounts receivable and follow-up with insurance companies and patients promptly.

Scope of our Medical Accounts Receivable Follow-up Services:

With a team of focused accounts receivable follow-up specialists, Nohitatu works on the following areas: Follow-up with insurance companies. We work on multiple channels of contact with insurance companies – Website, fax, and Phone to get an accurate understanding of the status of the claims. We also work with the end provider clients to improve the adoption of Websites as a channel of contact.

Develop policies and procedures for A/R follow-up. We monitor the aging bucket of the A/R and understand the dates by which the payers would have the information on the file. We initiate follow-up calls on the right number of days post the time of submission of the claims so that we do not waste effort following with the payers before the date

Effective action plan. Our work does not end with merely obtaining the status of the claims, we go one step further and initiate the actions such as refiling of the claims to obtain reimbursements denials, file appeals, and analytics on with a focus on reducing the days in A/R" Use "Medical Billing Services" as a keyword in-between in 3 places to this content without changing the content. Use in appropriate sentence which makes sense

The Nohitatu denial management team, comprising seasoned professionals in Medical Billing Services, investigates the reasons for every denied claim, focusing on resolving the issue and resubmitting requests to insurance companies, and filing appeals where required. We understand that each denial case is unique, and we correct invalid or incorrect medical codes, provide supporting clinical documentation, appeal any prior authorization denials, understand any genuine denial cases to pass the responsibility to patients, and follow up effectively. We also re-validate all clinical information before resubmission. Additionally, for Appeals Denial claims, we analyze denial reasons, prepare appeal letters, and refile the claims by attaching clinical documentation. Furthermore, to reduce denials through analytics, we employ powerful analytics to understand the trends in claim denials and launch an iterative process to reduce the denials on account of specific causes within the revenue cycle chain.

To receive payments for the services rendered, healthcare providers need to verify each patient’s eligibility and benefits before the patient’s visit. Some estimates indicate that as many as 75% of the claims getting denied are on account of the patient not being eligible for the services rendered by the healthcare provider. Unfortunately, it is one of the most neglected processes in the revenue cycle chain.

Impact of Ineffective Eligibility/Benefits verification and prior Authorization processes:

Ineffective eligibility and benefits verification and/or prior authorization processes can result in increased claim denials, delayed payments, additional effort on rework, delays in patient access to care, decreased patient satisfaction, and non-payment of claims.

Our team members, specializing in Medical Billing Services, will do the following as a part of the verification processes:

• Receive patient schedule from the healthcare provider’s office – hospital and/or clinic
• Perform entry of patient demographic information
• Verify coverage of benefits with the patient’s primary and secondary payers
• Coverage –whether the patient has valid coverage on the date of service
• Benefit options – patient responsibility for copays, coinsurance, and deductibles
• Where required, the team will initiate prior authorization requests and obtain
• • approval for the treatment
• • Update the hospital’s revenue cycle system or the patient’s practice management system with the details obtained from the payers.

Enrollment and attestation that a physician is part of a Payer’s network and authorized to provide services to patients who are members in the Payer’s plans are integral steps in the credentialing process. Credentialing verifies that a physician meets standards as determined by the Payer by reviewing such items as the individual’s license, experience, certification, education. Medical Billing Services play a crucial role in facilitating this process efficiently and accurately.

"Medical Billing Services involves organizing and storing information such as the patient’s demographic and treatment information together in one place. It helps medical staff access all the information that they need quickly and easily to determine treatment options as well as to be compliant with patient data storage and healthcare document management requirements."

It helps customers migrate from one billing software to another software. Our team of conversion professionals who excel in their field and ensure the conversion is accurate and reliable.