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Customized Medical Billing Solutions

Medetec creates customized medical billing solutions to fit with how you do business.  Providing a comprehensive billing package that addresses the complexities of today’s billing and coding challenges.  Our goal is to create a billing plan that compliments your practice.

Scroll down to learn how Medetec can solve your billing problems.

Our Solutions

Dealing with the most complex medical billings challenges…

Medetec is transforming the way medical billing and collections are approached in the 21st century. With the advent of healthcare reform, we are in a new generation of medical billing. The environment is much more complex resulting in increased high deductible plans, increased insurance rejections, and slower claims adjudications. Our direct relationship with the medical practice is much more integral. We can offer long term regular site visits to ensure face to face time with providers and staff. This lends to an effective approach in the sharing of information. Staff can discuss billing and patient issues, our coders can share coding changes, documentation needs, and much more.

Billing System Problems

We use a state of the art billing system that was built from the ground up to support our markets. The system employs local insurance carrier knowledge to “scrub” claims prior to electronically submitting them. This ensures that the claims are submitted to the insurance company correctly the first time. By minimizing the number of rejected claims we can focus more time on other tasks to maximize your reimbursement.

Staffing Problems

Do you have difficulty hiring and managing billing staff?  Do you feel you get the most from your coders?  Is your current billing company chasing down every dollar for your office?

Medetec hires, trains, and keeps our staff on your account so you don’t have to. No more hiring and training new billing staff, managing vacation schedules or covering for employees that call in sick; allowing you to re-deploy current employees and office space.

Coding Problems

Our team of certified coders review the coding on every claim that comes in the door. We cross check the notes against the coding to be sure the procedure codes and modifiers correctly reflect the procedures that were performed. This ensures that you are appropriately reimbursed for the procedures that you performed. Our goal is to maximize your reimbursements while at the same time minimize your risk of audit.

Insurance Credentialing & Payor Enrollment

Credentialing in medical billing is mandatory and without proper and up-to-date medical credentialing all other aspects of the medical billing cycle are irrelevant. Healthcare providers require a dedicated medical credentialing process that will ensure all necessary documentation is collected and processed in accordance with each insurance payer as well as each provider. This in turn enables healthcare providers to utilize the patient’s insurance to pay for medical services performed. Medetec manages the initial and ongoing provider credentialing as well as payer enrollment in the appropriate geographic region. Failure to maintain credentialing expertise and visibility, results in losing patients to other healthcare providers.

Patient Balance Problems

We make every effort to collect patient balances. Patient statements are generated weekly on a 30-day cycle to create a continuous flow of revenue. If payment is not received after sending patient statements we send demand letters and follow up with phone calls. We will setup and monitor payment plans with patients if necessary. If an outstanding balance remains after these efforts, we will recommend the account be sent to collections upon your approval.


High Deductible Problems

Have your insurance checks drastically reduced due to claims applying to the patient deductible? Medetec’s team effort with your office assists in reducing the amount of time you wait for your deductible reimbursement. Whether it is large or small services, Medetec can offer a comprehensive package that verifies deductible balances, HSA/HRA reimbursements, down payments, and monthly payment plans.

Often 100% of your services are applied to patient deductibles. Whether your patient is having a new patient consult and scheduling a surgery, planning to have a baby, or simply needs your medical care, Medetec will customize a plan that fits with your practice to contact the patient and negotiate payment terms.

Denied Claims and Follow-up Problems

We are experts at appealing and collecting denied claims. We know each insurance company’s appeal process and know how to craft effective appeal letters to get your claims paid.

We aggressively follow-up on all unpaid insurance claims. Unpaid claims are assessed, prioritized and then pursued on a claim-by-claim basis. We know how the insurance companies operate and are experts at getting through to them to follow-up and to dispute improper denials and slow payments. Whether it is a urinalysis or an appendectomy, our goal is to fight for every dollar. 55% of all medical practice account receivable losses come from failure to follow-up on claims in a timely fashion. Medetec’s policy is to follow-up on all unpaid insurance claims every 30-45 days.

Consulting Services

Medetec offers fully customized consulting services to healthcare providers that includes medical billing, coding, credentialing, and practice management analytical services to help medical practices sustain their profitability. Our specialists create operational efficiencies, address operational contingencies and implement standard operating procedures (SOP’s) to promote long-term growth.

With numerous updates on government regulations impacting everyday healthcare processes and decisions for patients, physicians, and insurers alike, it takes an expert to evaluate and determine their potential effects on each medical practice. We help you make quicker and more accurate administrative decisions. Medetec medical consultants address all strategic facility concerns such as community demography, dominant local healthcare trends, government stipulations and legal obligations so you can focus on improved patient care.

For over 20 years Medetec has been providing medical practices with local billing and practice management solutions.
A U.S.-based company, our offices are located in New York and Virginia.

Get your Billing in Order.

Contact us today to learn how we can help you with your billing, saving you time and maximizing your reimbursements.