Healthcare Systems

Hospital margins have shrunk even further over the past ten years due to growing expenses, a lack of skilled coders, and constantly shifting regulations. GSMBS is here to work as an extension of your team and set the standard for helping you collect more data, more quickly. To satisfy the particular requirements of your healthcare systems.

GodSpeed Medical Billing provides an extensive array of customized medical billing solutions. In order to meet the particular needs of your healthcare system, we offer hassle-free billing, AR recovery services, and the elimination of expensive errors that lead to faster payments.

Your financial nervous system is severely harmed by a disorganized billing process in healthcare systems. You might consider outsourcing your revenue cycle or billing at this point. You can set up the entire billing and AR recovery process with outsourcing for a fraction of your current operating costs thanks to its clever solution.

GodSpeed quickly rose to prominence as a revenue cycle management business by offering some of Texas’ top healthcare systems specialized hospital billing services. You can talk to us about your healthcare difficulties when you work with Right Medical Billing as your partner.

GodSpeed Medical Billing can assist you in keeping your expense tracking and payment procedures efficient. We have worked with hospitals and healthcare systems for many years, and we can help you increase your reimbursement by more than 20%. We offer full revenue cycle management services, medical record review, inpatient DRG review, accounts receivable recovery, credentialing, and prior authorization services.

Services We Offer to Healthcare

In addition to offering tailored services to healthcare systems, we also handle full billing. These services include the following:

Verification of Insurance Eligibility Services

During this process, we will confirm that patients meet the pre-authorization or referral requirements of their patient plan and are eligible for benefits under their insurance policy. We then calculate the patient's co-payment and the deductible amount. Cash flow, reimbursements, and insurance eligibility verification services have all improved thanks to our services.

Statistics & Fee-For-Service Entry

Charge entry is the primary step in the billing process that establishes the healthcare organization's payment amount. The patient's account is charged from the patient FaceSheet. Since patient demographic data entry requires extremely accurate data entry into the system, having a talented team working on it is imperative. Our healthcare system billing services team can offer you charge entry and patient demographic services that are accurate and of the highest caliber.

Invoicing and Evaluation

In order to confirm the services rendered and assign the proper codes, our medical billing team examines a number of sources in a patient's file, including the transcription made by the physician, reports from diagnostic tests, imaging reports, and other sources. Workflow disruption, underpayments, and ongoing claim denials can result from submitting codes incorrectly. These challenges may lead to needless claim-related burdens and intricate medical billing problems.

AR After-Care Services

Keeping track of every instance of accounts receivable can be challenging and time-consuming. To reduce AR days as much as possible, we aggressively pursue unpaid claims. In order to make sure that rejected and underpaid claims are processed and reimbursed on schedule, our accounts receivable management team also makes sure that they are appealed as soon as possible.

Services for Collection & Denial Analysis

Companies need to monitor claim denials because they can cause them to suffer large losses. Our healthcare systems collections services team looks into the reasons behind the denial, fixes any mistakes, and submits the denied claims again within the allotted time frame. In the event that insufficient information results in the claim being rejected, the gaps are filled as quickly as feasible. Our healthcare system billing experts and analysts can help you monitor denials, identify their root causes for process improvement, and lower the overall number of denials.

Payment Posting

The first line of defense for identifying payer issues is payment posting. Prior authorization, non-covered services, and medical necessity denials will be recognized and reassigned to the relevant team members. To make sure that all of the payment information is entered into the system, we review ERAs and the scanned EOBs (Explanation of Benefits). The information is then correctly updated into patient accounts.

Credentialing of Providers

A crucial phase in the revenue cycle and the process by which a doctor or other provider is connected to payers is provider credentialing. This method enables patients to pay for medical services they receive with their insurance cards while also enabling the provider to get paid for the services rendered. By implementing ERA setup, our billing team expedites faster payment processing, increases referrals, minimizes revenue leakage, lowers denial rates, and recognizes provider trends.

Negotiation outside of the network

Our multi-layered balanced approach dynamically maximizes out-of-network claim savings. Our out of network negotiation team insight effortlessly integrates systems into existing procedures to achieve a streamlined approach. We employ proprietary algorithms and extensive supplier databases to identify areas of significant costs and appropriate reimbursement. Our staff diligently works on each insurance plan claim in an effort to obtain the highest possible service reimbursement.

Our Revenue Cycle Management Process

In the United States of America, Healthcare Systems Revenue Cycle Management (RCM) is a complex and multi-step process that starts at the patient’s appointment and concludes when the healthcare provider is paid in full. With a systemic and effective Revenue Cycle Management accounting approach, we can promptly provide top-notch billing services as one of the top healthcare system RCM service providers. Among the crucial phases in our healthcare systems’ accounting process are:

Appropriate RCM Software
Insurance Eligibility and Verification
Patient pre certification or pre-authorization
Demographics and Charge Entry
Co-payments and Deductibles
Filing claims
Reimbursement for the Services Rendered
Manage denials
Billing & collection services
Medical appeals
Refund management

RCM Software’s GodSpeed Medical Billing Supports

A crucial part of the revenue cycle management procedure is billing software. Administrative tasks like billing are infamously labor-intensive and paper-intensive. Billers can code, file, and track claims as efficiently as possible with the help of a modern medical billing software system. Having worked in the health industry for many years, we were able to quickly ascertain the needs of our clients and deliver the necessary services.

Our staff is skilled in working with a variety of tools and technologies for billing emergency rooms and urgent care centers as well as the healthcare system. Any significant medical billing program, such as Advanced MD, Kareo, Gorev, Elligence, Docutap-Experity, CollaborateMD, Medisoft, Medical Manager, and NextGen, can be handled by us.

Why Choose GodSpeed Medical Billing for Healthcare System Billing Services?

To satisfy the unique requirements of your healthcare organization, GodSpeed provides an extensive array of Medical Billing Solutions. Working with both short-term and long-term care facilities, from standalone hospitals to healthcare systems with numerous locations and specialized programs, is something that GSMBS has demonstrated experience in. The top medical facilities and networks in the United States and Canada that GodSpeed has collaborated with are listed below,

Altus Health System
Memorial Hermann Health System
Kindred Healthcare
Houston Methodist
Cornerstone Healthcare
UTMB Health

You get access to a number of resources when you hire GodSpeed Medical Billing to handle your healthcare system billing needs. Selecting us as your medical billing and coding partner is important for several reasons, including our use of cutting-edge tools and technologies and our provision of HIPAA compliant billing services.

Our professionals provide prompt billing services and are accessible around-the-clock to address your inquiries. Our medical billing and coding services are customized and reasonably priced.

You can contact us for following comprehensive billing services:

Entire process of healthcare system revenue cycle management
Precise and efficient medical billing services
Improvement in the documentation and administrative task
Metrics that can help you analyze better
Workflow integration via application services
Improving Data’s Analytical Capability

Key Points That Makes Us Best Medical Billing Company,

Our team ensure that your front-end denials are 20% less.
Reduce manual entry concerns and improve RCM system efficiency.
Improve the correctness of the fees and collection.
Out of Network Negotiations.
Payment posting and refunds adjustment to improve the cash flow.
Account manager dedicated to all your requirements.
Provide high quality and error-free billing and collection services.
We always increased the collection ratio of our clients as a result of faster account receivable process and on time follow up.
Use the latest technology and tools.
Offer Services that are easily scalable at all times.
Use quality control procedures and structured billing processes to ensure error-free billing.