Medical Billing | Quantum Lake

Medical Billing Services

Efficient medical billing is crucial for the financial health of healthcare providers. Our comprehensive medical billing services ensure that your practice receives accurate and timely reimbursements. We handle every aspect of the billing process so you can focus on providing quality care to your patients.

Why Choose Our Medical Billing Services

Expertise
Our team of certified billing professionals has extensive experience in various specialties, ensuring that your claims are handled correctly the first time.
Accuracy
We utilize advanced billing software to minimize errors and ensure compliance with the latest regulations.
Speed
Our streamlined processes and automation tools ensure quick turnaround times, reducing the time it takes for you to get paid.
Transparency
We provide regular reports and updates, giving you full visibility into your billing operations.

Medical Billing & Claims Processing Services

Quantum Lake acts as your medical claims processor and can help you increase your revenue by handling all the activities involved in medical claims processing. We are HIPAA compliant and our claims processing and submission services fit easily into any medical billing software, process claims at a faster rate with very few errors.

Here are some of the key services we offer our clients:

Patient Demographic Entry
Medical Data Entry Services
Medical Claims Data Validation
Medical Billing Services
Medical Claims Data Processing Services
Indexing Medical Records
Medical Claims Data Extraction
Medical Claims Data Archiving
Claims Data Maintenance and Cleansing
Medical Claims Administration Support Services
Payment Posting
Account receivable Management

Pre- Adjudication
Post Adjudication
Medical Compensability Review
Body Part Validation
Medical Necessity Review
Re-evaluation Review
Overpayment Recovery
Provider Function
Paper Claim to ECHS (Electronic Claim Handling System)
Plant Testing for claim processing
Claim Processing – ECS

Our Medical Billing Process

Eligibility verification/Demographic Entry : Our billing professionals review eligibility verification and Demo entry, which is automated, but in some cases billers manually enters the demo from scanned documents
Charge entry/Claim Submission : Charges entry is often done by the coding team, which is verified by billers. Claim submission is totally automated.
Payment posting : Payment posting is a complete automated process. Our audit team identifies the common denial reasons associated with patient balances and insurance verification issues.
Insurance Rejection/Denial Analysis : For each denial category, we perform a root cause analysis to determine why these issues are occurring. This might involve reviewing processes, verifying data accuracy, or ensuring compliance with insurance requirements
Patient's statement : Patient's statements are auto generated. Billing professionals review the statements before they are sent out. This review includes checking for accuracy in patient information, services provided, charges, insurance information, and any adjustments or write-offs.
Collections : Identify patients with outstanding dues, which may include co-pays, deductibles, or other patient responsibilities. If no payment is received after sending the initial three statements and a reasonable grace period, the unpaid cases are escalated to a collection agency.
Patient calling : We handle both inbound and outbound calls from patient regarding any queries and issues with billing process.
Summary : We verify all the automated process as well as manually process the claims as and when required.

Medical Billing Specialities We Handle...

Hospital Billing
Hospice Billing Services
Chiropractic Billing
Pathology Billing Services
Pediatric Medical Billing Services
Ambulance Billing Services
Radiology Medical Billing Services
Cardiology Medical Billing Services

Neurology Medical Billing Services
Mental health Billing Services
Gynecology medical Billing
Family Practice Billing Services
Internal medicine Billing Services
Plastic Surgery Billing Services
Otolaryngology Billing Services
Occupational health Billing services