Medical Billing Solutions
Capital Medical listens to our clients and offers services designed around their specific needs. No up-selling of software or services and no unwieldy, long term contracts. Our family values approach to service is designed to increase your profitability, while reducing your administrative burdens.
Reporting & Analytics
The typical canned report options leave a lot to be desired. Capital Medical works with each client to develop the necessary reports and analysis to understand their performance and make informed business decisions.
Most providers are efficient at documenting and coding patient visits. However, certain specialties or procedures may require a coding expert. Capital Medical has the resources to ensure proper coding and reimbursement of your medical claims.
Capital Medical will process medical claims within 24 hours after demographic and encounter information is received. Checks and balances are in place to ensure each encounter is captured and ready for submission to the correct payer.
Denied claims hurt cash flow. Capital Medical has the technology in place to make necessary corrections and ensure acceptance of the claim by the payer..
The majority of payments are posted automatically from Electronic Remittance advice files (ERA’s). Paper remittance notice and patient payments received by the practice are forwarded to Capital Medical for processing. If necessary, claims will be forwarded to secondary insurance for payment.
Failure to follow-up on denied claims is a significant source of revenue leakage. In the event of a denial or incorrect payment, Capital Medical will exhaust all options to collect payment.
The prevalence of high deductible insurance plans places added emphasis on patient collections. Capital Medical resolves patient balances in conjunction with our clients, in the manner they choose. We generate patient statements with an explanation of the amount due and provide a toll free number for them to call with any questions. If necessary, Capital Medical will call patients with past due balances in an attempt to collect payment or establish a payment plan. Patient portals, where patients can view balances and make payments on-line are available for participating clients.