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Our Medical Billing and Coding service forms the essential foundation of your revenue cycle. We don’t just process claims; our U.S.-based certified coders ensure that every procedure and diagnosis is documented with meticulous accuracy, drastically reducing the chances of rejection.
Key Aspects of Billing & Coding
We commit to achieving a high first-pass acceptance rate by focusing intensely on code compliance and accuracy from the start. This rigorous approach prevents revenue leakage and protects your practice from costly audit risk, translating directly into faster payments and a stable cash flow.
100% Code Accuracy
Our experts apply CPT, ICD-10, and HCPCS codes to guarantee submission integrity and avoid payer friction.
Maximized First-Pass Acceptance
We ensure claims are clean from the start, significantly boosting the rate they are accepted on the first submission.
Proactive Compliance Audits
We perform continuous internal reviews and documentation checks to protect your practice against payer audits.
Specialty-Specific Expertise
Coders understand the unique nuances and Local Coverage Determinations (LCDs) for your specific medical field.
How does Caresbill ensure my practice remains HIPAA compliant?
We are a 100% HIPAA-compliant service. All our billing experts are trained on the latest compliance protocols. We use secure, encrypted RCM software for all data transmission and storage, and we enforce strict digital workflows to protect patient health information (PHI) at every stage of the billing cycle.
How will outsourcing my billing actually help increase my revenue?
We increase your revenue by focusing on two key areas: maximizing collections and minimizing denials. Our certified experts ensure clean, accurate claim submission (high first-pass rate), and our aggressive denial management team recovers revenue that would typically be written off by in-house staff. This reduces your Accounts Receivable (AR) days, speeding up cash flow.
How long does the transition/onboarding process take, and what is required from my staff?
The onboarding process typically takes 2 to 4 weeks, depending on the size and complexity of your practice. We handle the entire process, including system setup, credentialing verification, and integration with your existing EHR/EPM software. Your staff is only required to maintain accurate clinical documentation and provide us with patient demographics and charge sheets.
Do you offer transparent pricing, and what are your contract terms?
Yes, we offer 100% transparent, performance-based pricing, typically charged as a percentage of collections. We do not have hidden fees, and we ensure our success is directly tied to yours. Our contracts are designed to be flexible, focusing on a strong, long-term partnership without unnecessary lock-in periods.