Emergency Room Medical Billing In San Antonio TX
Healthcare Revenue Cycle Management Solutions
Everything you need, all in one place!
At QMACS, we offer emergency room medical billing in San Antonio, TX designed to optimize the financial health and operational efficiency of your practice. From precise medical billing and coding services to expert physician training and education, patient call center support, and advanced reporting and analytics, we provide end-to-end solutions tailored to meet the unique needs of your practice. With a dedicated team of certified professionals and cutting-edge technology, we empower healthcare providers to focus on delivering exceptional patient care while we handle the complexities of revenue cycle management. Explore our services below to see how we can elevate your practice’s success.
Medical Billing
Our medical billing services are tailored to meet the unique needs of healthcare providers in Texas. From claim submission to payment posting, our experienced team ensures accurate and timely processing of medical bills, maximizing reimbursements and minimizing revenue leakage.
Coding or Claims Scrubbing
We can read your documentation and code your claims, or we can scrub your claims. It is your choice. We have Certified Professional Coders ready to assist with all coding and or scrubbing of claims to ensure full reimbursement on all line items that are sent to the insurance company. We take an intense approach to ensure that all modifiers, medical necessity, DX, and DX orders are correct for all claims billed out to ensure timely payment.
Payment Posting
We will post all insurance and personal receipts. We will assist in making sure that all payers are set up with ERA’s for quick, timely posting of payments.
Denials Management
We specialize in resolving denied claims promptly across various EHR platforms and clearinghouses. Our team ensures timely appeals to payers, with a dedicated account manager analyzing your practice to minimize AR days. We prioritize your financial interests, diligently completing all aspects of AR management. Concerned about secondary claims? Rest assured, every claim in your AR receives attention, regardless of value. Your AR is our priority, and we’re committed to securing your revenue. Remember, our compensation depends on your success!
Customer Service Center
We boast a fully staffed bilingual customer service center ready to handle patient calls. Our advanced contact center software not only records these interactions but also generates daily metrics to uphold top-tier quality assurance and patient satisfaction levels. The choice is yours: handle calls in-house or leverage our call center services.
Reports
Month-end reports are pivotal for your practice! Drawing upon our team’s extensive experience in data analytics across various platforms, we customize your reports to provide precisely the insights you need to effectively manage your practice.
Statement Processing
We offer flexibility in sending out your patient statements, allowing you to use your current platform or opt for our secure, enterprise-level patient statements vendor. The choice is yours.
Expertise
With our CEO as a Certified National Instructor, our coders are experienced in coding in multiple specialties. We are experienced in the details of coding and adhere to strictly regulated guidelines, as well as maximizing reimbursement based on your documentation.
Education
All our coders maintain continuing education for all specialties and stay current on the ever-changing CMS-regulated changes. We provide coding education to all providers to maximize reimbursement for your practice.
Reporting
We can provide you with a detailed report of your coding practices and provide valuable information on how to better support your CPT codes and maximize reimbursement for your practice. Never forget a procedure again!
Quick Turnaround
We offer quick turnaround to get your charges coded and out the door to the insurance companies. Once your chart is signed, it is coded and submitted within 24-48 hours. If you need more time, we tailor our coding time to your needs.
Audits
We have experienced Certified Professional Coders combined with Operations experience to provide detailed audits about your practice from coding to collections. You have CHOICES on your audit! We can provide Coding-only audits and Coding and Billing audits for your practice. The CHOICE is yours!
Coding
Accurate medical coding is essential for proper reimbursement and compliance with healthcare regulations. Our certified coders are proficient in CPT, ICD-10, and HCPCS coding systems, ensuring that your medical records are coded correctly for optimal reimbursement and compliance.
Consulting
At QMACS, we offer expert guidance tailored to maximize revenue and efficiency in your practice. With our deep expertise in coding, claims management, denials, and AR analysis, we provide actionable insights to optimize your billing processes. From thorough documentation reviews to comprehensive analysis of denials and AR, we deliver easy-to-understand reports with detailed recommendations to drive business success.
Coding Audit
We have the keen ability and expertise to take a deep dive into your documentation and provide solid feedback on what you need in your documentation to support CPT codes that define what you did with your patient. We take time to read your notes and review your evaluation and management codes to see if you are utilizing the correct E/M codes that support your documentation. The proper codes make a difference!
Clearinghouse and Claims Audit
It is essential to make sure you have clean claims that get to your clearinghouse so that you can have timely payments. We have expertise with all clearinghouses to look at your denial trends on your ERA payers and report these back in the audit.
Audit Report
We will provide easy-to-read reports that will help you get a real look at your practice, analyzing each function from coding and payment posting to AR management that will give you details on what needs to change to maximize your business’s revenue.
Charge Scrubbing Audit
If you do your own coding and you have claim scrubbing, we look at the entire process to ensure that your claims are scrubbed correctly the first time to get paid timely.
Accounts Receivable Audit
We take the time to run reports out of your software to get all the data that we need to dive into your AR and define the billing issues that you might be experiencing in your practice.
Evaluation and Management CPT Training
It is important for you to get paid for your hard work on each patient each day. We can provide the training needed to improve your E/M codes that support what you did with a patient so that you can get paid appropriately. This training will help with any audit you might get for your E/M levels. Let us help you get paid for what you did with your patients and ensure that you have good supporting documentation for the levels you use daily.
Procedure Code Training
Procedures often slip through the cracks, particularly in the midst of a hectic schedule. We meticulously review your documentation against billed procedures to accurately assess what your notes truly endorse. Our primary goal is to educate and train, enhancing revenue potential by aligning your documentation with all CPT codes submitted to insurers. Whether dealing with bundled or unbundled codes, our adept team is equipped to lend a hand. Proficient in every specialty, our coders provide tailored support for your unique coding requirements. Let us lend our expertise to your practice today!
Modifier and ICD 10 Training
Modifiers and ICD 10 codes are key to getting paid on time. Many denials happen due to the misuse of modifiers, lack of modifiers, and/or incorrect modifiers, in addition to incorrect diagnosis codes and/or the incorrect order of DX codes used on claims. It is all in the details for payment to be timely from the payers. Our training and education will help you get paid on time!
Physician Coding Education and Training
We are proud of the coding team we built at QMACS, inc. We can provide quality training and education to all providers to improve documentation and support the CPT, ICD 10 codes, and modifiers billed out to the payers that dictate exactly what you did with your patient.
Patient Call Center
We have a fully staffed Bilingual customer service center waiting to take patient calls. We have a robust contact center software platform that records patient calls and generates metrics daily to ensure we maintain a high level of quality assurance and patient satisfaction. You have a choice to do the calls in house or utilize our call center.
Reporting & Analytics
Month-end reports are important! Leveraging over 30 years of experience, our data analytics team has been working across many different software platforms. We can produce month-end reports out of your own EHR or our billing software, and we will provide your vision into the productivity of your practice.
Why Choose Us
- Expertise: Our team consists of experienced billing and coding professionals with in-depth knowledge of the healthcare industry and Texas-specific regulations.
- Customized Solutions: We understand that every healthcare provider in Texas has unique needs and challenges. That’s why we offer customized billing and coding solutions tailored to your practice or facility.
- Compliance: Compliance with state and federal regulations is paramount in the healthcare industry. Our services adhere to all regulatory requirements, ensuring that your practice remains compliant at all times.
- Customer Service: We prioritize customer service and aim to provide prompt, responsive support to healthcare providers in Texas. Our dedicated team is here to address any questions or concerns you may have.
Emergency Room Medical Billing in San Antonio, TX
Interested in Learning More?
Contact us today to learn more about how we can assist you further.