Medical Billing
As a partner for outsourced medical billing, we manage the process of submitting, tracking, and following up on claims with insurance companies to secure payment for rendered medical services.
We provide a team of experts to ensure that the claim gets to the payers promptly and clean of errors for faster payment time and lower denial rates.
Legacy Health is well-versed in healthcare billing standards as it pertains to CMS guidelines. We are also educated in state-by-state requirements to support providers nationally.
We not only focus on getting the claim out faster, but we also work on behalf of providers to strengthen internal processes, build the system to work with the client and create a workflow that will set up the client for long-term success.
We also provide the client with the SOPs, as well as dashboards comparing the clean claim rates before and after.
Demographic and Data Entry
Providers choose Legacy Health to handle the tasks of accurately inputting patient health information and related data into the providers’ systems.
We ensure complete demographic and patient data to enable clean claim submission, accurate billing, and timely payer reimbursement.
Legacy Health supports RCM processes to avoid incorrect or incomplete data preventing claim rejections, payment delays, and reduced revenue.
We review patient records and correct any errors or inconsistencies before the data is used in claim submission, billing, and reporting.
Charge Review
Our Charge Review team is protecting the client’s revenue by ensuring that the most up-to-date pricing is being used along with accurate code usage.
We maintain, update, and optimize the client’s Chargemaster to ensure the accuracy of billable services, procedures, medications, medical supplies, and associated costs.
Legacy Health delivers a skillset to catch pricing issues and over and under-charging.
We review the Chargemaster to know if we are charging too low or too high of acuity levels and provide the necessary initial and add-on charges.