Medical billing involves multiple administrative activities between the delivery of healthcare services and receipt and reconciliation of applicable payments.
Intelix Credentialing provides Medical Billing and Revenue Cycle Management support for healthcare providers and organizations. Our services are designed to help coordinate claims-related administrative activities, payer follow-up, payment information, reporting, and accounts receivable processes according to the selected scope of service.
Revenue Cycle Management, commonly referred to as RCM, encompasses administrative and financial processes associated with healthcare billing, claims submission, payment processing, and follow-up.
Accurate claim information is important because payers apply formatting, coverage, coding, and payment-policy edits during claim processing. Claims may be accepted, rejected for correction, or denied depending on the applicable requirements and edits.
Claim preparation and submission within the applicable billing scope, claim tracking, corrections, and resubmissions.
Payment posting and reconciliation-related administrative support.
Review and follow-up of unpaid or denied claims and coordination of applicable corrections or additional information.
Follow-up on aging accounts receivable and outstanding payer balances.
Patient statements and applicable billing inquiries.
Periodic billing and account-status reporting based on the selected service scope.
Electronic claim submission support using applicable standard healthcare claim formats as part of the selected billing workflow.
Intelix Credentialing can provide accounts receivable follow-up support for applicable outstanding claims and balances. The specific approach depends on the payer, age and status of the account, available documentation, and selected billing scope.
Billing and revenue cycle support can be structured for a range of healthcare providers and organizations based on the selected scope of service.
Accurate provider enrollment information can be important to claims administration. Credentialing and payer enrollment establish or maintain applicable provider participation information, while billing and RCM address claims and payment administration.
Establishes or maintains applicable provider participation, demographic, and enrollment information with payers and programs.
Addresses claims administration, payment posting, payer follow-up, accounts receivable, and related billing activities.
Practical answers to common medical billing and revenue cycle management questions.
Intelix Credentialing can help coordinate billing and revenue cycle activities based on your organization, payer mix, account status, and selected service scope.
Talk to a Billing Specialist →