Outsourced Medical Billing, Increase Revenue Recovery

Maximize collections, optimize revenue cycle, and reduce denials

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Medical billing & coding is the backbone of any healthcare facility’s revenue cycle;
it involves the translation of services rendered in a patient’s medical record into claims which convey the medical necessity of these services to a health insurance company. It ensures that all patient records are fully documented and accurate while providing peace of mind to all parties involved in the healthcare payment cycle-providers, patients, insurance companies, and billers.

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Eliminate Cash Flow Leakage

Nearly 1 in 10 adults owe at least $250 in medical debt. Unlike most everyday transactions where you receive a service or product and promptly pay the bill, medical billing is a much more complex transaction involving patient documents, claims, and procedures for revenue reimbursement that requires staff training to eliminate leakage.

Medical billing and coding professionals at GoBill are skilled in attaining timely reimbursement for medical facilities and healthcare providers in compliance with industry standards. We boost claim submission accuracy rates, reduce claim denials, and deploy technology-assisted workflows for maximum efficiency, leading to less operating costs and human errors.

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GoBill Medical Billing and Coding Solutions

Extend your staff with professionals trained in an accurate, fast, and organized billing cycle that gets you paid.

Information Capture

Thoroughly validates patient eligibility, responsibility, required pre-authorizations, and insurance coverage details before patient visits, which improves cycle time and lowers the chance of front-end claim denial by 40%.

Payer-Specific Coding

Assign accurate ICD-10 diagnosis codes and procedure CPT/HCPCS codes; review all clinical documentation in compliance with state and federal regulations to ensure payment of the highest specificity when billing your claim.

Claim Generation & Submission

Ensure that all patient information, services provided, and diagnosis are reviewed and verified following documentation and insurance details, lowering rejection rates to less than 1%. All claims are submitted within 24-48 hours.

Payment Tracking & Posting

Track and post ERAs and EOBs sent by the payer, match/confirm payments against claims, and balance account receivables, improving A/R efficiency by 30%.

Patient Payments

As soon as ERA is posted, patient statements are sent to all outstanding balances detailing patient visits, services received, reimbursements covered, collections made, etc. followed by patient reminders to reduce the outstanding patient balance.

Denial Management & Appeals

Identify root cause denial reasons, establish tracking mechanisms, send out appeals, and negotiate with claim adjusters resubmitting all denied claims in less than 2 days.

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Boost Your Revenue Cycle

Our clients have seen an improvement in their practice financial health within the first 90 days:

  • Reduced days in A/R.
  • Practice revenue increase by 20%-25%.
  • Billing and coding accuracy across specialties.
  • Operation costs reduction by 75%.
  • Less than 2% rejection rate.
  • Full HIPAA compliance.

We manage the complete revenue cycle and coordinate between workflows and different departments, so you don’t have to worry about any step of the billing process.

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Ready to Optimize Your Billing Cycle?

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