Medical Billing

Premier provides the most cost-effective quality service for billing, coding and receivables management. Our staff is fully trained in regulations pertinent to Medicare, Medicaid, Blue products, Managed Care, Third Party Liability, Workers Compensation, Preferred Provider Organizations, Indemnity Insurers and have a complete understanding of CPT, HCPC, ICD-9 coding Level I, II and III as well as have the ability to identify data necessary for submitting a clean insurance claim for reimbursement by insurers. Our offshore processing center, located in India, ensures abundant availability of qualified and experienced staff. Using our Electronic Billing Access System, a customized access system developed by us, our clients can view the status of a record from the moment it enters our system until the final payment is received from the insurers by them against their claims.

Our HIPAA compliant solutions leverage leading Internet technologies and the world's most highly qualified data entry operators, coders and processors to provide easier, secure, accurate and cost-effective services. The dawn of government regulations such as the Health Insurance Portability and Accountability Act (HIPAA) coupled with increasingly strict Healthcare requirements today are forcing the need for more efficient, accurate and secure claims processing. Under HIPAA, companies must implement technology and business processes to ensure the security and confidentiality of patient information, and establish an audit trail of all those who have accessed this information. We understand HIPAA requirements the best because, our software services business has many HIPAA experts who have provided HIPAA Compliance services to many clients in the US. This service offering includes: Coding, Billing and Receivables Management, Documentation, Reports and Managed Care Payment Compliance Reviews.

Coding is the key to accurate billing in the ever-increasing complexity of today's healthcare environment. It is the hub of all financial and clinical data collection, reporting and billing. Therefore, coding performed in accordance with national compliance guidelines is imperative for maintaining a healthy business. Our coding staff is composed of professionals with extensive clinical background. Before nearing any client charts, each coder must pass an intensive multi-week classroom training course that prepares them for the intricate task of combining fast, accurate coding skills with a comprehensive knowledge of compliance guidelines and rules. Our billing and collection system redefines the "charts to cash" process. Combining accurate coding with expeditious bill processing technology, our system ensures that the reimbursement faithfully reflects the services provided. Our collections process combines using advanced collection software with timely, precise, and sensitive communications with the insurers. Our collection plan includes properly assessed reimbursable fees, appropriate documentation, accurate coding, billing and rebilling insurance as necessary, patient service and accurate statements. With tighter industry regulations on coding and billing procedures, accurate documentation is crucial for the continued success of any practice. Therefore, we provide ongoing documentation analysis and training for clients, resulting in consistently accurate coding, submission of "clean" claims vastly reducing processing time and cost to payers and helping clients perform efficiently. We ensure that, the third party payers' payments are processed in accordance with all contractual agreements. Our system has strong information-gathering capabilities, which enable us to submit extensive reports that support the care providers' efforts to improve the quality and cost-effectiveness of care. With the help of the data collected, we provide budget projections that inform clients of expected receipts, every week or fortnight or month as desired by the clients. We also provide a number of other value added services like Managed Care Payment Compliance Review Services. These services begin by analyzing the client's managed care contracts and then comparing the payments received from the managed care and commercial payers with the payments that should have been received. When discrepancies exist, we recover proper and accurate reimbursement from the payers.