Medical billing is the preparation of invoices for procedures rendered, and these are given to patients and insurance companies. Medical billers act as the financial waypoint between patients, providers, and payers. Without billers, healthcare providers couldn’t be reimbursed for the procedures they perform. The training videos in this section cover the key concepts and guidelines that underpin the billing process. You’ll learn how the insurance process works, and what types of payers affect the reimbursement process. Finally, we’ll discuss Medicare, Medicaid, and the regulations enforced under the Health Insurance Portability and Accountability Act (HIPAA).

Medical coding is the translation of medical reports into a short code used within the healthcare industry. This helps summarize otherwise cumbersome medical reports into efficient, data-friendly codes. While complex and detail-driven, medical coding really comes down to knowing how to navigate the three main code sets: CPT, ICD, and HCPCS. These code sets help coders document the condition of a patient and describe the medical procedure performed on that patient in response to their condition. We’ll train you to recognize how code set is organized and how each should be used.

Coding and billing are the invisible engines of the healthcare system. Without either field, the healthcare industry would be unable to efficiently transmit important data, and healthcare providers would have an incredibly hard time getting paid for their services. In a nutshell, it is the medical coder’s job to translate the healthcare provider’s report of a patient’s visit into numeric or alphanumeric code, which in turn is used by the medical biller to make a bill, or “claim,” for the insurance company and determine the appropriate charge for the patient. In this section, we’ll introduce you to the basic concepts of coding and billing, and we’ll give you an idea of what it’s like to work in these fields. You’ll learn about the leading professional organizations in coding and billing, and we’ll show you the certifications available for each position.

Our comprehensive coding services are available as part of our complete medical billing service package or as an independent service for their own billing companies. Our closed-loop process integrates seamlessly with your billing system to ensure the integrity of the data. We provide certified medical coders experienced in same area of specialty as your healthcare practice to seamlessly integrate our coders with your practice.

Outsourcing your medical Billing & Coding services to Sammy Healthcare Solutions , they can reduce compliance risks and enhance your income. We are experts of Anesthesiology, Cardiology, DME, Radiology, Orthopedic, Urology medical billing and coding for physicians who practice in complex, high-volume hospital settings. Our team and our proprietary workflow technology improve your practice finance by reducing turnaround, streamlining claims submission and reducing the time and cost burden of administrative work.

Offer Services
➤ Medical Coding:
⇒ Our teams verify and validate the documents, split them into batches and review them for completeness, quality and readability.
⇒ Diagnosis, Procedure Codes and modifiers are assigned as per client descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require ASA code).

➤ Demographic/Charge Entry: Our experienced billing professionals can get the claims sent to payers faster, with fewer errors and at lower costs. A completely seamless solution that minimizes data-entry while utilizing their guidelines and billing software.. Through the creative combination of advanced technology with qualified and knowledgeable billing professionals.
⇒ Patient Registration
⇒ Multi-specialty charge entry by our experienced billing professionals
⇒ Scrubbing of all claims before submission for fewer denials and underpayments
⇒ Save up to 40% as compared to your existing costs
⇒ Complete HIPAA Compliant process and remote access solution keeps data in your control
⇒ Rapid and seamless transition to MERAKI RCM SOLUTIONS's Operations Centers in 30 days or less

➤ Pre-Certification / Pre-Authorization: Sammy Healthcare Solutions offers a much needed service for insurance authorization.
⇒ Submit Authorization Requests for All Insurance Carriers
⇒ Assigned On-Demand Specialist

➤ Insurance Verification: We can contact carrier and verify your patients' Insurance coverage and benefits before the patient actually visits the Doctor's office.

➤ AR Follow up, Claim Status Updates: Sammy Healthcare Solutions's Accounts Receivable Analytics is a follow-up service that gets our clients paid more, faster, and at a lower cost, through the creative combination of advanced technology qualified and experienced billing professionals, we can improve cash-flow and reduce days in A/R ensuring that our clients get paid more, faster and at a much lower cost to you.

Key Highlights
⇒ Receivable Analysis
⇒ Low per claim processing fee
⇒ Payer Follow-up
⇒ Denials Management
⇒ Re submission of Claims / Secondary Claims Submission

➤ Payment Posting: Our Cash Post Solution ensures that all our client payments are posted accurately usually within 24 hour . .
⇒ Experienced billing experts post payments from EOBs, Charge Slips and other documentation
⇒ Secondary payer billing
⇒ Management and posting of denials
⇒ Processing write-offs and adjustments
⇒ Correspondence processing
⇒ Verification of all payments posted to reduce errors and ease reconciliation
⇒ Save up to 40% as compared to your existing costs.

Reach out to us for more information on how we can tailor the solution for your practice

Why Sammy Healthcare ?
We value your time & have the expertise, diligence and devotion you need in a medical Billing & Collections service!

All healthcare providers and practitioners desire to receive the best for their patients while ensuring that their service remains profitable and their bottom-line grows. A serious obstacle to this goal is an inefficient revenue cycle management system that leads to missed, inaccurate and deleted payments, hurting revenue growth. Sammy Healthcare enables healthcare organizations and companies to streamline and enhance their RCM efficiency through effective management of their billing and collections functions.

Various hospital billing departments, private medical practitioners and organizations who have partnered with Sammy Healthcare have always gained by availing the advantages of a Healthcare BPO Company with unparalleled experience and expertise in the health care industry.

We possess the highest standard of ethics that you would probably see in a medical billing company with absolute focus on the individual needs of each and every client, irrespective of specialty or size of the business. By combining an extremely qualified and professional team, state-of-the-art technology and commendable and vast experience we created Altos. We have consistently satisfied clients in California with our modernized clinical documentation methodologies.

We offering:
⇒ A professional yet considerate attitude
⇒ New and innovative ideas that meet the latest industry demands
⇒ Fully equipped with all the necessary guidelines, current industry laws and regulations pertaining to insurance coverage, recovery of debts from patients etc
⇒ Prevent costly delays & boost financial performance with dramatic improvement in business
⇒ Use of advanced coding and billing software, analysis tools and Internet tools
⇒ 100% security and protection of confidential information
⇒ US Presence, including the ability to deliver patient services from a US location
⇒ US based Transition team
⇒ Affordable rates and willing to work on a success fee model. Our Prices linked to productivity
⇒ Ongoing support & 24/7 customer care