Medical Billing
Patient Demography Entry
Data entry should be one of your least concerns, but errors can lead to significant financial loss. At Top Group Med, we specialize in Demographic and Charge Entry services across various specialties, from General Practice to more complex fields.
Our medical billing specialists enter patient demographic details as provided during the visit. For established patients, we validate and update these details as needed in the practice management system to ensure accuracy
Charge Creation, Claim Audit & Submission
Our Senior Billing Associates generate medical claims according to the billing rules for specific carriers. Each claim undergoes multiple quality checks before submission to insurance. Our experienced quality team ensures accuracy and compliance throughout the process.
Payment Posting
Top Group Med's payment posting solutions save valuable time, enhance data accuracy, and expedite the flow of funds into the correct accounts. We handle filing and posting of hardcopy Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), as well as account reconciliation and secondary claims processing as needed.
EOB Filing or Scanning
Manual or Electronic Payer Interface Posting
Denial Posting and Processing
Reconciliation
Credit Balance Process
Secondary Claims Process
Top Group Med addresses denials—clinical, technical, and short-payment—immediately after posting. We analyze each denial and take the necessary actions to resolve them.
AR Claims Follow-Up
At Top Group Med, we consider this a critical area for maximizing revenue recovery. We uphold the highest level of professionalism in all interactions with your patients.
Our Services in Account Receivable include:
Denial Management
AR Analysis
Insurance Follow-Up
Self Pay Follow-Up
Our proven cash flow and revenue management services enhance operational cash flow by reducing bad debt and write-offs. We manage customer revenue risk while simultaneously strengthening customer relationships
Denial Management
In a typical healthcare system, around 20% of rejected claims are never resubmitted due to complex policies, billing requirements, regulations, and managed care contracts. At Top Group Med, our Denial Management system helps you gain control over denials, leading to more efficient claims processing and faster reimbursements.