MEDICAL BILLING

As part of our BPO services, Diamex Management provides electronic medical billing and insurance claims processing services for the healthcare and insurance industry. We offer professionalism at competitive rates. Our unique outsourcing model offers a highly cost-effective and reliable solution to the medical billing service providers targeting higher growth rates, larger capacities and better Return on Investments (ROI) We process claims for all healthcare agencies that use the HCFA 1500 form, and dental practices that use the standard American Dental Association form and can also process hospital out-patient UB-92 forms.

Range of our Billing Services

Electronic claims submission HCFA forms processing Patient information and charge entries CPT, ICD- 9 and HCPCS coding Online Web based Customized Management Information Reports Scheduling Information coordination Patient demographics/insurance entry Code checking and analysis Posting of charges Claims submission (electronically & manually)

We have experience in many types of billing software. (i.e. Lytec, Medic, Misys, Medisoft, Inception, NextGen, IDX, etc.). We are used to working with EMR (Electronic medical records) and EPM (electronic practice management) systems. Being flexible in using software, we can use your current medical billing software. We can also, do remote billing (with the software of your choice). We are able to provide all services including, but not limited to: insurance verification, authorization, reauthorization, coding, medical billing, collection, follow-up, re-submissions, patient billing, etc

How do w do it?   Using our resources we are able to bring highly qualified individuals and the best talent in the business. Our service is solution oriented and our intent is to provide you with the solution that you require. We can create a system which can take care of any specific need that you may have in your billing cycle or we can provide a full cycle billing solution. Our solutions can be customized for any type of medical facility. Some of the medical establishments that we have the expertise to support are: Individual physicians Physician groups Multi specialty groups Surgical centers Clinics Free standing diagnostic facilities Long term care facilities Acute care facilities Medical Billing Companies Hospitals Rates   An evaluation is performed on each medical practice/provider based on payments NOT charges. This will allow us to determine the needs of the practice and how to charge for services rendered. This ensures that the client is not being overcharged or undercharged for the desired services. During the evaluation, certain facts are gathered such as: The time it will take to key patient and claims information into the software. The approximate number of claims a practice will submit monthly. The approximate "total dollars" a practice submits monthly to insurance carriers. How accurate is the information obtained from the office (is it complete and easy to enter or does it require extensive editing and follow-up)? How often will the information need to be gathered (based on claims volume). What method is best to collect the information (personally, e-mail, FAX, Federal Express, downloading via modems). Other services that may interest the practice. What we need from your practice   Complete patient demographics and insurance. Pre-certification and verification of benefits. Charge sheets with level of service provided, diagnosis (as many as possible), and any procedures.