WMBA provides a turn-key full service medical billing administrative process.
services
Medical Billing
WMBA provides a turn-key full service medical billing administrative process. Our philosophy is that we completely administer the claim payment cycle from beginning to end.
Claims are entered, audited for any potential conflicting coding or ANSI 5010 formatting issues, and submitted for processing on a daily basis. 99% of claims are submitted electronically to ensure the payor receives the claim within 24 hours of submission.
Charge Entry
Our experienced and knowledgeable billing professionals enter and/or audit CPT, ICD, and appropriate modifier codes accurately to ensure claims get processed correctly and paid on the first submission.
Claim Processing
Our team constantly monitors and tracks claims through the different stages of electronic processing:
- Before submission, claims are audited or "scrubbed" on multiple levels, then submitted to the clearinghouse
- Claims are audited by the clearinghouse for potential syntax errors/edits and forwarded to the payor(s)
- Payors acknowledge receiving claims and accepting for adjudication
- Payors acknowledge the claims have been processed and finalized for payment
Denial Management
Our highly experienced team of billing professionals are quick, analytical problem solvers of rejected or denied claims. We take the necessary steps to find the exact issue causing the denial/rejection, correct the claim, and following the necessary steps for resubmission or appeal as mandated by the particular payer. We will coordinate with the practice and/or patient if additional information is needed.
Payment Posting
Under-payments are, unfortunately, a common issue with insurance claim payments. Paying very close attention to detail is important when posting payments to patient accounts. While posting insurance payments, our team closely monitors each line-item payment for issues and take appropriate action when necessary.
A/R Follow up
Our team of highly experienced billing professionals take extraordinary measures to see that ALL insurance revenue is collected as quickly as proficiently as possible.
Management Reports
Our standard reports package is fully customizable to provide any additional data the practice may want to track regarding its billing and collections performance. These reports will help give a financial outlook and approximate revenue for the month.
Technology
- Cloud document management (training included)
- Full access to our billing system (training included)
- Scheduling & Billing mobile App (training included)