Due to enormous competition in the market, healthcare organizations are now increasing efficiency by optimizing their processes. Compliance risk, non availability of experienced coding staff, revenue loss due to charges not posted, increase in ageing for AR, high bad debt, wrong billing, and lack of reconciliations are some of the common problems for the billing companies. SBL leverages their expertise in process optimization, with the help of various management tools and techniques, provide right solutions by redefining the operating model and maximize value to the healthcare industry with least risks involved.
SBL’s deep domain proficiency, worldwide delivery associations and well-built focus on operational excellence let the healthcare organizations to spotlight on their core business while SBL exceeds the delivery expectations on their business processes. The best practices and the proprietary tools and methodologies provide value additions to our clients by improving patient fulfillment, dropping operational costs while streamlining processes through technology optimization and constant improvements.
SBL’s deep domain proficiency, worldwide delivery associations and well-built focus on operational excellence let the healthcare organizations to spotlight on their core business while SBL exceeds the delivery expectations on their business processes. The best practices and the proprietary tools and methodologies provide value additions to our clients by improving patient fulfillment, dropping operational costs while streamlining processes through technology optimization and constant improvements.
At SBL, we provide medical billing services to our clients with high quality and best turnaround time. Our process starts with demographic entries, insurance and eligibility verification, Point Of Service (PoS) collections, identification of Medicaid eligibility and finally we process electronic verification.
At SBL, Claims processing gives insurers the best approach on each level of data capture, policy verification, notice of loss and managing the workload. We provide Pre-adjudication services including patient and provider detail verification, validation and maintenance, re-validation for the expenses submitted in the claims and adjudication services including verification of diagnosis, pre-existing conditions, verification of eligibility charges and payments.
SBL’s qualified and experienced CPCs (Certified Professional Coders) determine the diagnosis, procedures and modifiers accurately. Necessary trainings are conducted to improve coding in case when coding issues by the providers are tracked. SBL also ensure to update the Correct Coding Initiative and other coding manuals regularly and provide the team during the training and follow up sessions. Professional and technical coding audits are also conducted.
Meticulous and aggressive follow-up is imperative for faster payment. SBL’s accounts receivables experts can follow-up with insurance companies by various forms for the payments. We use billing software to post all payments. We also analyze, correct the denials and partial payments and re-submit the claims to the insurance company.