medical billing and healthcare revenue management.
Busy Ant Medical
We provide customized solutions to meet the needs of your medical practice and boost revenue collection. Our expert medical billing team focuses on accurate billing, clean claim submission and faster payment turnarounds.
Our Services
We provide comprehensive healthcare support services that include medical transcription, medical coding, and healthcare revenue cycle management consulting. We act as an extension of your billing team to help them meet and exceed operational goals. We collaborate with you to successfully navigate the challenges of dealing with insurance companies and government agencies.
Demographics Entry
Quick claims processing depends on clean medical claims. We start with timely, accurate entry of the patient’s latest demographic information in your EMR system (electronic medical records system).
Eligibility Verification
Before scheduling or providing services, we confirm the patient’s insurance coverage and financial responsibilities. This is crucial for revenue cycle management, because it facilitates accurate billing and reimbursement, and helps you to project cash flow and avoid payment delays.
Medical Coding
We identify the diagnoses, medical tests, treatments and procedures in the clinical record and transcribe this patient data into standardized codes to bill government and commercial payers.
Charge Entry
We make sure that charges are accurately entered into your billing system. It starts with your own practice management system. Inside this system, we create claims from an EMR (electronic medical record) or super bill. All claims are pre-verified for insurance eligibility. And we use a proprietary matrix of online tools to ensure that all claims are correctly coded with modifiers, units, and charges.
Payment Posting
Our payment posting service ensures that all payments are posted with meticulous care, directly to your practice management software. This ensures that patient ledgers are current and accurate. Posted payments always reflect both the Explanation of Benefits from your practice (showing the summary of charges, payments, adjustments and write-offs), as well as the Electronic Remittance Advice from the insurance provider (showing the health plan’s adjustments to your claims).
Accounts Receivable Follow Up
The financial health of your medical practice largely relies on the successful management of payments owed to you by insurance carriers, patients and third-party payers. Maintaining healthy cash flow and reducing outstanding debts needs diligent accounts receivable (A/R) follow up. Our rigorous standards for timely and consistent follow up on electronic claims, paper claims, Medicare/Medicaid claims (from the Health Care Financing Administration), no remark claims, and last response claims support a robust system for recovery of receivables.
Denials Management
Even when you’ve optimized for clean claims submission, the reality is that claim denials still occur. When they do, we investigate and take action: making any valid corrections or submitting an appeal. We analyze all issues that led to the denial, resolve them, get you paid, and determine how to minimize future denials.
Medical Transcription
We offer high quality transcription services by experienced medical transcriptionists with quick turnaround times. The files go through multiple levels of QA to ensure quality, and we maintain 98.5% accuracy, which exceeds the American Association of Medical Transcription (AAMT) standard.
Auditing
Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and liability-free operation.
Reporting and Analytics
We offer insightful reporting and analytics, providing our clients with valuable data and actionable insights into their financial performance. These reports enable informed decision-making, identify areas for improvement and optimize revenue generation.
About Us
Our Approach
Our service model combines medical billing expertise, operational excellence and effective use of technology to meet your needs. We maintain full HIPAA compliance (Health Insurance Portability and Accountability Act). We use HIPAA approved software for encryption and decryption, and our staff are fully trained in regulations for HIPAA and PHI (protected health information).
What we offer you
As your billing support partner, we can help reduce your administrative burden so you can focus on delivering excellent patient care. To make this possible, we focus on delivering fast, accurate, and flexible coding and billing solutions and services for you.
Tell us what keeps you up at night.
Let’s solve it together.
