Medical Billing Services
Outsourcing medical billing is a popular option in today's highly competitive healthcare
industry. Outsourcing your medical billing process to us ensures that you get high
quality services in addition to cost benefits.
If you are a healthcare service provider, a medical billing company or an insurance
company, Bokharisservices can provide medical billing services to you by using your
existing process and software. Thus giving you prompt turnaround time on your data
processing functions with assurance of a high quality service.
Like most of Bokharis's Services, we are looking for effective ways to implement
Medical Billings solutions and reduce overall operational costs. To be a long-term
partner Bokharis Services has had the opportunity to look to provide high quality
and cost effective complete billing solutions.
Bokharis along with Healthcare-IQ is a health information company that enables health
care providers to manage cost-effective health care delivery and reimbursements.
Unique Products
Medical Billing Pre-Adjudication
Identifies avoidable denials prior to submission – reducing errors and time
for payment.
Bokharis's unique web-based pre-adjudication system increases profitability by identifying
avoidable denials and recommending solutions before claims are submitted to payers.
Bokharis’s All Payer solution utilizes a Rules Based Engine and a proprietary
database to target potential denials or delays in payment with payer specific insight
on how to minimize uncompensated treatments.
• We import your claims - uploaded to our secure message center as attachments
• Avoidable denials and solutions are reported to you via the web
• Reviewed and corrected claims are submitted electronically to payers
The pre-adjudication process will review and validate:
• Policies Respecting the Reimbursements of Supplies
• Policies Respecting Multiple Procedures Performed on the Same Date of Service
• Definitions of “Medical Necessity” and “Medical Necessary”
• Clinical Policy
• Fee Schedule Information
• Claim Bundling Logic
• Relationship Among Billing Codes
• CPT-HCPCS/ICD-9
• Crosswalk Table
• Miscoding Edits
• Diagnosis Edit Tables
• Modifier Edit Table
• HCPCS Modifier Table
• Procedure Edit Table
• Multiple Procedural Edits
• Place of Service Edits
• No Surgical Assistant Required Edits
• Prior Approval Edit
• Maximum Frequency Per Diem Edits
• Global Period Edits
• Unbundle Edits
• Rebundle Edits
For more information on this contact us
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