We Provide You With A Complete Billing Solution
Freeing Resources And Reducing Billing Administration
Our Purpose
We are dedicated to solving problems.
Swift Medical Solutions handles all aspects of hospital medical billing, increasing revenue while eliminating the need to house, manage and pay a billing department.
Billing Verification
Insurance Eligibility Verification
- Perform entry of patient demographic information
- Verify coverage of benefits with the patient’s primary and secondary payers
- Coverage – whether the patient has valid coverage on the date of service
- Benefit options – patient responsibility for copays, coinsurance, and deductible
- Update the hospital’s revenue cycle system or the patient’s practice management system with the details obtained from the payers
Keeping Flawless Track of All Charges
Charge Entry Services
We ensure effective collaboration between the coding and the charge entry teams to ensure that the charges captured are accurate, all procedures all billed for, and the codes ascribed are compliant.
We will post, review and submit all office charges, hospital visits, surgeries, and diagnostic and laboratory tests, to ensure accuracy, completeness and proper coding.
We provide you with CPT, ICD-10 and HCPCS coding expertise to ensure maximum insurance reimbursement.
instant claims without delays
Claim Submission
We submit insurance claims electronically through our electronic clearinghouse, eliminating substantial delays in insurance claims processing.
Insurance companies give priority processing to electronic claims rather than paper claims.
Claims that are incomplete or incorrect are rejected, returned to us immediately and can be fixed right away and resubmitted most often within minutes.
Immediate claim acceptance and receipt for tracking. No more lost claims and no timelier filing denials.
Organized and Efficient Posting
Payment Posting
We process different types of remittances received with a high degree of accuracy, improved responsiveness, and follow the procedures defined by our clients.
Patient Payments: We receive information on the point of service payments made by patients from our clients. Our team reviews the information received and adjusted the same against each patient account.
Insurance Posting: We receive high-volume ERAs from payers and process them in batches by importing them into the client’s practice management system. Each batch run throws out exceptions that fall out, and we correct the same along with verification of batch totals.
Manual Posting: Our clients often send us scanned EOBs. Each EOB batch is accessed via secure FTPs or through the EHR system and processed in line with the client’s business rules.
Denial Posting: Denied claims are sent back by the payers in the form of ANSI codes for denials and sometimes with payer-specific medical coding guidelines. We record each claim denial in the practice management system and take actions to re-bill to the secondary insurance company, transfer the balance to the patient, write-off the amount, or send the claim for reprocessing.