PRIMELINEMED
Comprehensive, Flexible RCM Solution designed to help medical billing companies stay in control of their business and the Practice they serve.
PROVIDER CREDENTIALING
We recognize the crucial role physician credentialing plays in the revenue cycle and the overall success of your organization. In fact, it directly impacts the revenue you collect. Our philosophy is simple: Credentialing Data = Revenue. Accurate and proper credentialing is vital to ensure correct payment.
With a nationwide presence and extensive experience working with diverse payer and provider organizations, we offer professional medical credentialing services to help you optimize every dollar. Whether you are part of an academic medical center, health system, hospital-employed provider, or large group practice, our expertise in collaborating with credentialing departments across the United States guarantees that you'll receive the most effective credentialing solution tailored to your organization's needs.
The Better way to get Credentialed
- Ease the burden of credentialing and accelerate enrollment with assurance.
- Address staffing hurdles, expedite physician onboarding, and hasten the revenue cycle.
- Rely on a trusted partner to handle all your credentialing requirements.
- Why Practices trust our Credentialing
Caring For The Health Of You And Your Family.
We Provide All Aspects Of Medical Practice For Your Whole Family!
We will work with you to develop individualised care plans, including management of chronic diseases. If we cannot assist, we can provide referrals or advice about the type of practitioner you require. We treat all enquiries sensitively and in the strictest confidence.
- Fractures and dislocations
- Health Assessments
- Desensitisation injections
- High Quality Care
- Desensitisation injections
Network Research
For your group or practice, we guarantee the most diversified, well-liked, and efficient in-network payer mix. Our team contacts each payer you have shortlisted and obtains exact timetables and open panel availability because we have vast expertise enrolling physicians with Medicare, Medicaid, and Private Payers nationwide.
Doctors’ TimetableApplication Filing
We send you an exhaustive list of all the details and materials needed to submit the applications. Our enrollment staff submits the necessary contract applications as soon as the information is received, making sure the submission is perfect the first time. Our clients receive contracts in the shortest amount of time because of our vast knowledge and application submissions that are accurate the first time.
Start A Check UpApplication Follow up
Our team checks in on the filed application every two weeks to make sure it has been received, is in the payer's system, that no further information is needed, and that everything is going according to plan. Until the contract is delivered to your physical address, we follow up frequently.
Explore ProgramsAppeals for Closed Panels
Some payers, like UHC, Aetna, and BCBS, have closed panels for a specific region. In such a case, senior provider officials at that payer receive a thorough appeal outlining the important features of your service, including niche offerings and information on how you provide great patient care in your region. Although it is challenging to reverse a closed panel decision, our appeals procedure has had a 30% success rate.
Meet Our DoctorsOut-of-network Enrollments
Our staff assists providers with out-of-network enrollments and NPI registrations on the payer's website if they are required to do so because of closed panels or if they wish to do so with some payers. By doing this, the physician's office can start taking out-of-network payments and is guaranteed to be in the payer's system.
Meet Our DoctorsDemographic Changes
We provide assistance with all simple and complicated demographic changes, including updating a new TAX ID with all of the payers in your payer mix, a new address, a bank account, etc. Additionally, we assist with complete ERA and EFT enrollment setup
Meet Our DoctorsAnnual Credentialing Maintenance
Accurate provider database management is essential for healthcare facilities that house several different providers. On our credentialing portal, we oversee and maintain the credentials for all of your providers and doctors. A thorough, open, HIPAA-compliant tool that is specially made to guarantee the maintenance of your database with maximum effectiveness.
Meet Our DoctorsPECOS and CAQH Set-up and Maintenance
We negotiate fee rates for you in addition to getting you a contract. We keep an exhaustive database of all payers' most recent fee schedules. We research the competition to make sure we secure the best prices for your operations, securing the highest potential reimbursement for your medical practice. In order to obtain higher rates from the payer at the present moment, we also revisit your prior contracts.
Meet Our DoctorsContract Negotiations
We negotiate fee rates for you in addition to getting you a contract. We keep an exhaustive database of all payers' most recent fee schedules. We research the competition to make sure we secure the best prices for your operations, securing the highest potential reimbursement for your medical practice. In order to obtain higher rates from the payer at the present moment, we also revisit your prior contracts.
Meet Our DoctorsFULL SERVICE RCM
At Billnet Solutions, we prioritize our client's ability to focus on delivering essential medical services rather than being burdened with claims processing, accounts receivables collection, and cash flow concerns. With a steadfast commitment to patient and client confidentiality, we ensure the complete protection of sensitive information.
By leveraging our services, medical office personnel experience a boost in productivity, morale, and job satisfaction due to reduced paperwork and administrative burdens. We strive for electronic claims to be paid within an average of 14 days after submission, depending on the payer, facilitating timely reimbursements.
Our fees are affordable and calculated based on a fixed percentage of net receivables, ensuring transparency and aligning our success with yours. Additionally, by outsourcing your billing needs to us, you can eliminate in-house billing expenses, as exemplified in our Cost Analysis example.
Our courteous and professional telephone assistance extends to patients and follow-ups with insurance companies, relieving your medical office staff of telephone traffic and the handling of insurance correspondence. We pride ourselves on being a stable and experienced company like Billnet Solutions, ensuring that the help you require will be consistently available both now and in the future.
Rest assured that you maintain absolute control over the financial affairs of your practice, receiving detailed monthly reports to keep you informed. Furthermore, our operations are fully compliant with HIPAA regulations, ensuring the utmost security and privacy of patient data.
When it comes to medical billing, healthcare providers have the option to choose between in-house billing or outsourcing to a specialized company like Billnet Solutions.
Let's compare the two approaches:
In-House Billing:
Familiarity
In-house billing allows for a close working relationship between the billing staff and the healthcare providers, resulting in better familiarity with the practice's operations and individual patient cases.
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Immediate Access
In-house billing staff can quickly access patient information and address billing inquiries or issues promptly.
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Training and Management
The healthcare provider is responsible for hiring, training, and managing the billing staff, which requires additional time, resources, and expertise.
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Infrastructure and Technology
Setting up and maintaining the necessary billing infrastructure, including software and hardware, can be costly and time-consuming.
Read MoreOutsourcing to Billnet Solutions
- Expertise: Outsourcing to a specialized medical billing company brings the advantage of working with professionals who possess in-depth knowledge and experience in medical billing regulations and procedures.
- Cost Savings: By outsourcing, healthcare providers can eliminate the need for hiring and training in-house billing staff, saving on payroll expenses, benefits, and ongoing training costs.
- Efficiency and Accuracy: Medical billing companies like Billnet Solutions leverage technology, streamlined processes, and industry best practices to ensure accurate and efficient billing, leading to faster reimbursement and reduced claim denials.
- Focus on Core Competencies: Outsourcing billing allows healthcare providers to concentrate on providing high-quality patient care without being burdened by administrative tasks, paperwork, and billing-related concerns.
- Scalability: Medical billing companies are equipped to handle fluctuations in workload and can easily scale their services to accommodate changes in the practice's size or patient volume.
Outsourcing to Billnet Solutions:
- Expertise: Outsourcing to a specialized medical billing company brings the advantage of working with professionals who possess in-depth knowledge and experience in medical billing regulations and procedures.
- Cost Savings: By outsourcing, healthcare providers can eliminate the need for hiring and training in-house billing staff, saving on payroll expenses, benefits, and ongoing training costs.
- Efficiency and Accuracy: Medical billing companies like Billnet Solutions leverage technology, streamlined processes, and industry best practices to ensure accurate and efficient billing, leading to faster reimbursement and reduced claim denials.
- Focus on Core Competencies: Outsourcing billing allows healthcare providers to concentrate on providing high-quality patient care without being burdened by administrative tasks, paperwork, and billing-related concerns.
- Scalability: Medical billing companies are equipped to handle fluctuations in workload and can easily scale their services to accommodate changes in the practice's size or patient volume.
- Billnet Solutions offers a comprehensive and reliable outsourced billing service, allowing healthcare providers to optimize their revenue cycles while focusing on patient care.
Practice Management
Scheduling Software: Streamline your front office operations with automated tasks, patient self-scheduling, and reduced labor, ensuring a more efficient experience. Billing Software: Maximize your practice revenue with our flagship financial suite, designed to simplify practice management and optimize revenue generation. Reporting & Analytics: Gain valuable real-time business intelligence on your financial health and discover hidden revenue opportunities, enhancing your practice's performance.
Patient Engagement
Empower your patients with a feature-rich Patient Portal, offering self-help tools, valuable resources, and time-saving functionalities. Enhance patient attendance and efficiency with automated Appointment Reminders, resulting in cost savings and reduced labor. Cultivate a positive online reputation for your practice through Reputation Management, leveraging patient surveys to strengthen your image. Broaden your care coverage, cut costs, and boost patient satisfaction with Personal Telemedicine, delivering personalized healthcare services.
EHR Software
Benefit from a diverse selection of Customizable Templates, tailored to your specialty, workflow, and charting preferences, simplifying your documentation process. Stay informed and organized with the Smart EHR Dashboard, providing a snapshot of your schedule, patient rooming, and task statuses, including completed outstanding, and critical items. Streamline charting and patient management with Specialty Cards, offering personalized and efficient methods to record and handle patient information, specifically designed for different specialties and workflows.
SOLUTIONS
A leading medical billing company distinguished by its expertise across multiple specialties, we pride ourselves in delivering comprehensive solutions to healthcare providers. Our in-depth understanding of diverse medical fields allows us to navigate the intricacies of billing with precision. In addition to our billing proficiency, we offer cutting-edge Electronic Health Record (EHR) software tailored to the unique needs of medical practices. This integrated approach streamlines administrative processes, enhances patient care, and fosters seamless communication among healthcare professionals. With a commitment to optimizing both financial management and patient outcomes, we are dedicated to transforming the healthcare experience through our specialized services and advanced EHR solutions.