From streamlining the complex collections process to overcoming continual reimbursements and insurance adjudication declines, several tasks can become challenging for an in-house financial team. Complex coding systems, ever-changing regulations, and manual data entry processes can lead to errors, delays in claims reimbursement, and, ultimately, keep your organization from achieving a smooth revenue generation cycle.
Outsourcing medical billing services to an experienced service provider helps streamline the medical billing process, cut costs, accelerate the pace of revenue generation, and focus on patient care. Managing back-office tasks can take away valuable time an organization spends on what matters most – providing exceptional patient care!
With over 24+ years of expertise in Healthcare BPO Services, Suma Soft offers a comprehensive suite of services designed to simplify your revenue cycle and maximize your reimbursements. With extensive experience in various medical disciplines, our team of certified and dedicated billers takes care of the most intricate billing challenges accurately and efficiently.
Driven by a strong team of experienced billers, Suma Soft aims to enhance every aspect of your revenue cycle through our advanced medical billing services. Our services ensure an end-to-end, well-organized billing system that improves accuracy, minimizes denials, speeds up claims processes, and helps you retrieve payments in a smooth and seamless process. Suma Soft empowers you to focus on what you do best – caring for your patients, while we offer:
Personalized Support
Our dedicated medical billing service team becomes an extension of your organization, providing ongoing support and communication throughout the billing process.
Accurate Coding
Our Medical Coding Services comprise of certified medical billers who ensure accurate and up-to-date coding for all services rendered, maximizing your first-pass claim acceptance rate.
Efficient Claims Submission
Our medical billing services team handles the entire claims submission process, ensuring swift submissions and expediting reimbursements.
24/7 Web-Based Access
Gain real-time visibility and control over your revenue cycle with our secure online portal, accessible anytime, anywhere.
Reduced A/R Days
Our efficient medical billing processes ensure faster claim submission and reimbursement, significantly decreasing average accounts receivable (A/R) days.
Healthier Cash Flow
Our medical billing services help improve claim turnaround times that translate to a healthier cash flow, allowing you to reinvest in your practice and patient care.
Increased Collections
Achieve a 25% increase in collections with our advanced coding, accurate claims submission, and dedicated follow-up procedures.
Reduced Overhead Costs
Reduce overhead costs associated with in-house billing staff and infrastructure by outsourcing your medical billing services.
With our multi-specialty expertise, Suma Soft employs advanced coding practices to maximize reimbursements and minimize revenue leakage. Experience significant reductions in accounts receivable (A/R) days, improving cash flow and boosting financial performance with a comprehensive range of medical billing services:
Small Practices
We understand the unique challenges faced by small practices and provide customized solutions to optimize their billing processes.
Physician Billing
Our dedicated medical billing services team ensures accurate and efficient billing for all physician services, maximizing your reimbursements.
Hospital Billing
Our medical billing service team handles the complexities of hospital billing, including inpatient and outpatient services, with expertise in ICD-10 coding for accurate claims submission.
Mental Health Billing
Our medical billing service team is well-versed in the specific coding requirements for mental health services, ensuring maximum reimbursement for your practice.
Chiropractic Billing
Suma Soft’s Insurance Eligibility Verification Services simplifies and streamlines the billing process for chiropractors, efficiently managing all insurance claims submissions and follow-ups.
Ambulance Billing
We handle the complexities of ambulance billing, including timely insurance claim submission.
Anesthesia Billing
Our medical billing services team specializes in accurate anesthesia billing, ensuring proper charges are captured, and claims are submitted promptly.
Pathology Billing
We efficiently manage all aspects of pathology billing, from coding and claim submission to payment posting.
Podiatry Billing
We offer accurate and efficient billing for podiatry services, maximizing your reimbursements and minimizing administrative burdens.
ASC Billing
We provide expert billing solutions for Ambulatory Surgical Centers (ASCs), ensuring proper coding and claim submission for various surgical procedures.
DME Billing
Our medical billing services encompass the complete DME billing cycle, from order processing and coding to claims submission and follow-up.
Internal Medicine Billing
We specialize in billing internal medicine services, ensuring accurate coding and timely claim submission for all consultations and procedures.
Urgent Care Billing
Our medical billing services streamline the billing process for urgent care clinics, managing rapid patient flow and their billing procedures.
At Suma Soft, we follow a streamlined and secure medical billing process to ensure accurate and timely reimbursements. Our process includes:
Patient Registration
Accurately recording patient demographics and insurance information.
Insurance Eligibility Verification
Our experts verify insurance eligibility and coverage, which is mandatory before rendering services.
Medical Coding
Assigning accurate CPT and ICD-10 codes based on patient diagnoses and procedures.
Charge Entry
Maintaining records of all charges for services rendered into the billing system.
Claims Submission
Preparation and electronic submission of claims to insurance payers.
Payment Posting
Our medical billing services team accurately posts payments received from insurance payers and patient accounts.
Data Security
Our medical billing services adhere to strict HIPAA compliance standards to protect your patients' sensitive information, prioritizing data security. Our authorized personnel are trained to handle sensitive information with the highest level of privacy and compliance.
Tech-Driven Processes
With state-of-the-art technology, advanced tools and modern office spaces, our medical billing services ensure streamlined billing process, reduced errors and improved efficiency that meet the highest standards in medical billing.
HIPAA-Compliant Medical Billing
Adhering strictly to HIPAA regulations, we ensure the confidentiality and integrity of your patient's data.
Experienced Medical Billers
With in-depth knowledge of coding regulations and billing procedures, organizations receive accurate billing reviews, approval, and multi-tier quality checks. Our professionals have mandatory routine training on changing compliance needs to make healthcare reimbursements a one-time effort.
Pre-Submission Audits
We conduct thorough pre-submission audits to identify and correct errors before submitting claims.
Quick Turnaround Times
Our medical billing services' efficient processes ensure timely claim submission and faster reimbursement cycles.
Dedicated Single Point of Contact (SPOC)
A dedicated account manager is allocated to businesses to address their billing needs and provide personalized support.
24/7 Support
Need assistance with billing inquiries or issues? Our customer support team is available around the clock to address all your inquiries.
State-of-the-Art Infrastructure
We leverage advanced technology and infrastructure to ensure efficient and secure billing operations.
Superior Quality Services
Suma Soft is committed to delivering the highest quality medical billing services by providing transparent collections processes, updated patient files, automated billing, denial tracking, and improved quality. We ensure accuracy, efficiency, and compliance every step of the way!
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