Est. 2014 Bridging Healthcare & Revenue
✉ info@carebridgercmsolution.com 📞 022-39482200
OPERATIONAL METHODOLOGY

Specialized Execution Built for Healthcare Organizations

Our end-to-end medical billing solution manages every facet of your encounter-to-payment lifecycle. We eliminate administrative billing backlogs by deploying certified billing specialists trained across commercial insurers, Medicare, Medicaid, and managed care plans.

From charge entry verification and fee schedule audits to secondary and tertiary claim submissions, our team monitors each electronic batch in real time. We adhere to rigorous pre-scrubbing protocols to catch clearinghouse validation errors before transmission, maintaining a clean claim submission rate above 99.2% and significantly compressing payment turnaround times.

MEASURABLE PRACTICE OUTCOMES
  • ✓ Reduces average days in AR to under 32 days
  • ✓ Achieves 99.2%+ first-pass clean claim acceptance rate
  • ✓ Eliminates unbilled encounter backlogs within 24 to 48 hours
  • ✓ Ensures strict adherence to payer-specific timely filing limits
STRUCTURED WORKFLOW

Execution Stages

01 Superbill and electronic EHR encounter ingestion
02 Multi-layer pre-scrubbing and NCCI edit verification
03 Clearinghouse electronic transmission (EDI 837)
04 Electronic Remittance Advice (ERA 835) automated posting and variance audit
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TECHNICAL SCOPE

Comprehensive Workflow Capabilities

Detailed operational deliverables included in our Medical Billing Services engagement models.

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Electronic CMS-1500 (837P) and UB-04 (837I) batch creation and validation
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Primary, secondary, and tertiary payer claim submissions with coordination of benefits (COB)
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Daily clearinghouse batch transmission monitoring and 277 acknowledgement tracking
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Fee schedule alignment and underpayment discovery against contracted allowable rates
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Automated patient liability posting and electronic statement distribution
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Credit balance audits and refund resolution workflows
SEAMLESS TECHNICAL INTEGRATION

Compatible with Leading Healthcare EHR & Practice Management Platforms

Epic Systems Cerner / Oracle Health Athenahealth eClinicalWorks (eCW) Kareo / Tebra NextGen Healthcare AdvancedMD DrChrono Allscripts / Veradigm
TRANSFORM YOUR RCM PERFORMANCE

Ready to Optimize Your Medical Billing Services?

Connect with our healthcare RCM specialists to evaluate your current billing performance, resolve bottlenecks, and design a customized delivery model.

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