West Virginia Medical Billing Services

Expert Medical Billing Services in West Virginia

We handle your medical billing services so you can focus on providing care to your patients. As a result you get faster payments, increased revenue and reduced denial rates.

Achievements

33%

Increased Revenue

24/7

Dedicated Support Available

40%

Reduction in Claim Denials

99.1%

Fist-Pass Claim Approval Rate

40%

Reduction in AR Days

69+

Served Medical Specialties

Medical Billing Challenges For West Virginia Practices

Providing medical services and getting paid without any issue is not easy in West Virginia. These are the challenges that practices face regularly in medical billing:

Unique Insurance Rule

Any patient that comes to medical practice has its own insurance provider. These insurance providers in West Virginia have their unique rules for medical billing. When the team of practice is done with treatment, they face issues of compliance while preparing the claims.

Frequently Changing Rules

The insurance companies in West Virginia don't just have unique rules, they also change their rules and regulations frequently. This makes it complex for medical practice to submit accurate claims. Because they don’t have enough billing experts to stay updated with ever changing rules.

High In-house Billing Team Cost

Finding medical billing experts with good experience is already hard. But when practices are able to find some employees, they cost very high. An in house medical billing team costs 90% more than a remote service like us. Because practices have to provide them salaries, insurance, and other benefits.

Stress in Busy Days

When the medical practice is full with patients. They provide care to patients but get overwhelmed when it comes to preparing medical claims. Because they don’t have enough time and mental energy to tackle both complex tasks. As a result they get stressed and end up submitting claims filled with mistakes. Our medical billing services in West Virginia are designed to fix these issues for your practice. We handle all the complex paperwork of billing so you can focus on providing care to your patients. This gives your team the peace of mind knowing billing is in the hands of experts.

Why Work with Claims4Medical?

01.

Insurance Credentialing

We handle the paperwork of getting your credentialed with top insurance companies. It is a time taking and complex process if your practice does it on their own. Because whenever a patient with new insurance companies comes in, you would have to get credentialed with them to get paid. We help you get credentialed fast so you can start providing care without any delay.

02.

Dedicated Account Manager

We provide your practice with our dedicated account manager. This manager is the point of contact between your practice and us. In case of any query this person will respond instantly. Our manager learns the workflow of your practice and then manages your medical billing according to that. They make sure your billing is going according to the goal.

03.

Simple Billing
Software

We have developed an advanced medical billing software and made it simple for you. Our team integrates this software with your practice system. So you can use it without changing your software. In this software you can manage billing relevant tasks like insurance verification, tracking claim status and checking outstanding balance of your patients.

04.

Speciliates Coverage

We have worked with more than 69 medical billing specialists in West Virginia. These specialties include family medicine, pediatrics, orthopedics, cardiology, dermatology, and endocrinology. You can check out the complete list from our specialty page. If you don’t find your specialty listed there, you can contact us and we will create a solution for your practice.

Customized Billing Solutions

We understand that each medical practice is unique with size and their needs. That is why we don’t provide one fit all solutions to every practice we work with. We design customized billing solutions that fit their needs. We do a free consultation call with your practice, to understand your working style, your needs and goals.

Then we create custom services especially for your practice to match your goals and needs. This helps your practice get the services, which help you in the area you are struggling with. It costs you less as compared to other services. Our manager also is informed about these metrics to check when handling your billing relevant tasks.

Types of Services We Provide

Insurance Verification

We take patient details and verify them from their insurance providers. This helps your practice know if their insurance covers the cost of treatment they need. Prior verification prevents the payment issues for later.

Medical Coding

We take the documentation of services provided to patients. Then we convert those services like diagnosis, procedure and treatment into medical codes. These medical codes are added according to insurance company rules. Accurate medical coding increases the rate of claim approval.

Claims Management

We prepare accurate claims and review carefully before submitting. Then we submit claims to insurance companies in their preferred way. Our team follows up on each claim until they are processed and approved. This reduces claim denial and delays.

Denial Management

If claims are denied from insurance companies. We take those claims and review them properly to find out the reason for rejection. Once identified, we fix the issue immediately and resubmit the claims to the insurance company. We then follow up with the insurance company on those claims until they are approved.

Account Receivable (AR) Management

In this service, we handle your account receivable. Our team tracks the outstanding balance of your practice. When we see there is an unpaid balance from patients or insurance companies, we follow up and remind them to pay those bills. We keep reminding them until payments are cleared.

Revenue Cycle Management (RCM)

In this service, we manage the complete revenue cycle of your practice. It means you just have to provide the treatment to patients. After that we handle the process of billing which includes preparing claims with rules and regulations, adding codes, claim submission and every other step until you get the payment.

Benefits You Will Get

When you choose Claims4Medical for your medical billing, these are the benefits you will get.

Success Stories

Frequently Asked Questions

Do You Work with Government Insurance Plans?

Yes, we work with government Medicaid insurance plans.

Yes, our services are available for healthcare clinics of all sizes.

No, we will integrate our medical billing services in your existing system. So you don’t have to change your software.

Our prices are not fixed. It depends upon the size and needs of your practice. So you can contact us to get the custom price for your practice.

Yes, we work with both practices from urban and rural areas of West Virginia.