Demo And Charge Entry

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CLIENTS’ CLAIMS FOR CASH FLOW

Updated charges and codes are essential to the success of a claim. This area of medical billing changes constantly, so we implement the latest updates as soon as we can in our Demo and charge entry process.

Our team is committed to getting it right on the first try.

The company strives to continually meet and surpass higher standards and benchmarks in terms of the first-pass claim rate. It takes a high level of expertise and precision to determine the reimbursement that healthcare providers will receive for their services.

Our process is defined as follows:
Dates for implementation
Plan exceptions
Benefits
Details of coverage
Co-Pays and Co-Insurance Details
Pre-authorization Number
Comparing patient information with insurance information

GUARANTOR/ACCOUNT DETAILS

The name of the person, their date of birth, home, office, and mobile phone numbers as well as their addresses must be included.

Medical Claims Submissions

In order to illustrate the difficulty of switching from ICD-9 and ICD-10, ICD-10 has approximately 144,000 codes, while ICD-9 had approximately 14,000. New codes were also added in 2017. MGSI can help healthcare providers and hospitals solve this problem by outsourcing their medical billing, collections and coding needs. Our team of dedicated medical coders can become familiar with the coding services and procedures provided by our clients in just a few short days. Their work involves ensuring high-quality coding and compliance with regulations for every client.

Medisensei offers medical billing solutions that are reliable and trustworthy. They prepare healthcare providers and facilities for the ICD-10 migration. Medisensei employs AAPC multi-specialty coding specialists who have received their AAPC proficiency certificates for ICD-10 medical coding. Our staff attends professional development conferences and seminars throughout the year, and they share what they learn with our clients. We will make sure that the providers get as much money as possible. Medisensei offers a full suite of revenue management solutions, including ICD-10 medical codes.

Details of Insurance

You will need the following information:

Insurance Identification Number (IIN)
Name and Address of Insurance Company
Name or Number of Group
Dates and Termination of Insurance Policy
Policy number
Name of Insured
Date of birth
Relationship between insured and patient

Medisensei’s demo and charge-entry services will enable you to capture:

Service Date
Pre-Auth Code
Demo Entry:
Charge Entry
Billing Provider

Healthcare Provider
Admission Date
Referring Physician
CPT Code
Diagnosis code

The patient’s details include their name, identification number, gender and marital status. They also provide an email address, birth date, social security number and contact information for both home and office.
Details of the Guarantor/Account: Name, date of birth, work and home phone numbers and addresses of the Guarantor
On request, a description of your insurance policy can be provided: Insurance Identification Number (IIN), Name and Address of Insurance Company, Details about the policy, including effective dates and terminations, Policy number, Name, Date of birth, and Relationship of the Insured to the Patient.

FAQ

What is Charge Entry?
The process of updating medical charges in accordance with an appropriate fee schedule. Medical Billing is critical in determining the appropriate reimbursement of claims submitted to insurers
What is Charge Entry Capture?
The data collection includes DOS, Provider Information, POS and Facility information. Diagnosis Codes, CPT Codes, Units, Modifiers as well as Prior Authorization Number, Admission Date, Injury Date, and Referring Provider Information are also included.
What is Demographic entry?
Patient information includes: name, date of birthday, address, phone number, sex and marital status. Social security number. Emergency contact information. Name and date-of-birth of the individual guarantee, affiliation with patient, work and home telephone numbers; address; insurance details. Information on the insured: Name, date of birth and work phone number as well as home address.
How do we help your practice?
Medisensei’s goal is to do it right on the first try. We aim to increase the clean claim rate of the practice and the first-time pass rate. It takes a high level of expertise and precision to determine the actual reimbursement for healthcare providers.