Medico delivers high quality healthcare revenue cycle services by strictly adhering to industry guidelines, resulting in minimal denials and faster payment. Our systematic approach to decreasing outstanding A/R, reducing bad debt, and minimizing average DSO allows our clients’ practices to focus on patient care rather than finances.

Enrollment Process:

We assist healthcare providers of all specialties in the payer enrollment process with government and commercial payers. We coordinate with insurance companies to initiate and maintain accurate credentialing statuses. When applicable, we handle the process of getting your providers credentialed with new payers or plans to ensure timely and clean claim submissions.

Benefits & Authorizations:

We manage the process of eligibility verification for each patient at least two days prior to their appointment and procedure. This reduces claim denials and allows you to make informed decisions about the services you render and how much you should collect from the patient at the time of service.

Information we provide:

Patient’s coordination of benefits, member ID, group ID and policy effective dates, copay, coinsurance, and deductible amount and services covered under the policy.

We strive to obtain pre-authorizations at least ten days prior to patient appointments. This ensures minimal denials and maximum reimbursement for the procedures you perform.

Billing:

Medico provides an end-to-end claims management solution. From charge entry to claims submission to payment positing and reconciliation, we ensure that accurate charges go out and appropriate payments are received.

Completion of CMS-1500 form for each patient visit, Automated Claim Generation, Automated Electronic Submission, Claim scrubbing prior to submission, Clearinghouse integration, Direct deposits from payers and reconciliation with your bank, Payment posting for paper EOBS.

Payments & A/R operational analytics: