JS Medical Billing captures revenue through accurate claims entry so the clients get paid faster the first time. We enter charges quickly, check codes against payer reimbursement rules, and track every encounter from appointment to claim submission.
The collection rate is well above the industry average. We follow up on all claims promptly and continue to work on both primary and secondary claims until they are paid. You don’t have to spend your own time checking to see if a claim has been paid or if the follow-up is occurring. You can count on us to do all of this for you.
We use cloud-based software by Kareo. The software integration capability between Practice Fusion, Kareo, and JS Medical Billing allows for a very efficient process that reduces our internal costs. For most practices, we can provide outstanding medical billing services for between 7% and 10% of the amount collected. We don’t get paid until you do!
Fee Schedules
The web-based software helps JS Medical Billing manage your fee-for-service billing by setting up standard fee schedules or insurance-specific contracts.
Typically, the standard fee for each procedure code is entered along with the contractual allowed amount for insurance-specific contracts.
However, as the charges are entered, the software will automatically determine the fee for each service based on the patient’s primary insurance policy or other billing situation.
Charges and Codes
The claims entry technology permits us to capture charges using mobile devices, scanned documents, or good old-fashioned data entry.
JS Medical Billing has streamlined the data claims entry process with various features. Ticket numbers printed on encounter forms to quickly transfer patient, insurance, provider, and date information from appointments.
We use procedure macros or exploding procedure codes to quickly enter a collection of procedure and diagnosis codes for common patient visits.
Set up billing defaults, such as providers and service location, to save time by eliminating repetitive data entry and use missed encounter reports to identify any visits with missing charges.
Scrub Claims and Check Codes
The web-based medical technology helps us to stay ahead of ever-changing coding standards and insurance reimbursement rules with powerful claim scrubbing technology that eliminates claim denials and rejections.
JS Medical Billing performs a real-time code check integrated with every charge entry process, including CCI edit validation, ICD-9 and ICD-10 code validation, CPT codes and modifier validation, CPT code sequencing, and local and national coverage decision (LCD/NCD) validation.
We also have access to a comprehensive knowledge base of coding, compliance, and reimbursement rules, including the federal register, Medicare bulletins, local average decisions, and other payer-specific reimbursement rules.
Track Encounters
JS Medical Billing tracks the flow of encounters through each stage of the process, from data entry, submission, coding, approval, billing, and collection.
It’s like having FedEx-level tracking of encounters throughout our billing process.
Co-Pays
Whether your front-office users capture co-pays upon checkout, JS Medical Billing posts co-pays, automatically apply co-pays to charges, and track and bill for missed co-pays concurrently with the insurance billing process.