Medical Billing Services

Patient Scheduling & Registration

The Getz Patient Scheduling Service analyses the peaks and valleys of patient flow and seasonality to manage the schedules. Capturing critical patient information while providing exceptional patient experience on call has helped our physicians reduce the overall wait time for the patients and reduce the time for new patient registration/enrollment.

INSURANCE VERIFICATION & PRE AUTHORIZATION

Getz provides a remotely-hosted Centralized Eligibility Unit for hospitals, faculty practice plans, PMS/EMR vendors, and billing companies. The solution consists of Getz staff, technology, management and expertise that delivers high-quality, cost-effective patient insurance eligibility and related services.
Getz Eligibility Verification Services has the potential to:
• Improve A/R cycles (reduce A/R days).
• Increase cash collections by reducing write-offs and denials.

Patient copy & self pay collections

The Getz self-pay collections team uses technology-enabled practices maximizing patient contact.
1. Automated dealers.
2. Digital messaging campaigns.
3. Mobile technology to drive text messaging campaigns.

Documentation of visit

Creating clinically, financially, and legally accurate documentation makes the job of the physician easier.

Medical Coding

Getz medical coder responsible is to assigning the correct code to describe the type of service a patient will receive. They ensure the codes are applied correctly during the medical billing process, which includes removing the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. Getz have well experienced CPC coders.

DEMO & CHARGE ENTRY

Getz, provides charge entry in medical billing as a part of the healthcare revenue cycle management services suite or as a stand-alone service. Teams at Getz have prior experience in handling the charge entry process on various medical billing systems and for several medical specialties. So the teams can start with the process directly after just a few calls to understand the nuances to be followed, saving training time and effort. The teams have predefined account specific rules in charge entry for different medical specialties, and just add the nuances to them for each client, which reduces the room for errors and contributes to clean claims.

CLAIMS CHECKING & ERROR RESOLUTION

Getz can do after entering Demo and Charges audit all claims 100% before transmitting claims to Insurance companies thru Clearing Houses.

CLAIMS SUBMISSION & EDI SETUP

Getz can do a complete EDI set-up for new practices or practices moving from paper based claims to electronic forms. The process includes setting up the user and database on the EDI (Clearing House) website, testing with sample batches to ensure that the 837 and 835 are processed correctly and integrating the EDI with the Billing system for ‘one touch’ transmission of claim batches. Other aspects that can be set-up are 276/277 (Claim Status) and 270/271 (Eligibility and Benefits verification).

PAYMENT POSTING & PROCESSING

At Getz, payment posting in medical billing is one of the key processes that get the utmost attention from our Operations management. The payments in lieu of claims, which are received from the Payer and Patients, are posted in the medical billing system of the client to reconcile the claim. Getz also does electronic payment posting in to the medical billing software and handles the exceptions (fallouts) manually to make sure no payment is missed. The posted ERAs are stored either in the billing system or a Document Management system (DMS) for future reference.