New Mexico Medical Billing Services

“Effortless Medical Billing Solutions for New Mexico Practices”

Let us increase your revenue and reduce your bad debt with our medical billing services in New Mexico.

The Medical Billing Landscape in New Mexico

Medical Billing in New Mexico comes with great challenges. Each insurance company has complex requirements for billing. This makes it hard for practices to submit claims with accuracy. The insurance companies in New Mexico change their insurance policies frequently. They also change their medical codes for billings. 

This becomes a challenge for practices to stay compliant with these policies. Finding experienced billing experts is very hard in New Mexico. So the practices have to rely on their administrative team to handle the billing. As a result they face claim delays and denials frequently.

Costly Billing Errors That Impact Revenue

Billing mistakes lead to delayed payments, denied claims and lost revenue. These are the common errors that New Mexico practice make:

Inaccurate Coding

When medical practice submits the claims they include inaccurate medical codes which leads to claim rejection. These inaccuracies are caused because of a lack of coding experience in the administrative team of practice.

Missing Documents

Practices submit claims to insurance companies where some documents not are not attached. This happens because of unique and complex requirements of each insurance company. Practices find it hard to navigate these documents.

Late Claim Submission

The administrative team doesn’t have enough time to manage both providing care and managing claims. That is why it takes time for them to prepare claims. So when they submit the claims, they are already late with the submission deadline. This leads to claim delays or denials.

Insurance Verification Issues

When a patient comes to medical practice for treatment, they don’t verify their insurance details. They start the treatment right away. This leads to claim rejection and revenue loss. Because some insurance does not cover the cost of treatment which the patient received.

How We Ensure Maximum Reimbursement

At Claims4Medical, we take these following steps to maximize your reimbursement.

Real Time Insurance Verification

When the patient visits the medical practice. We verify their insurance details in real time for their insurance providers to make sure it covers the cost of treatment.

Thorough Documentation Review

When we prepare medical claims, we thoroughly review the claims to check missing or incomplete documents. This helps us submit claims with all the required documents.

Accurate Medical Coding

We have a team of expert medical codes. They carefully add each code according to the requirements of insurance companies.

Real Time Claim Submission

We prepare accurate claims and submit them in real time to insurance companies. This reduces the claim delays and increases the approval rate.

Compliance

We stay updated with changing rules and regulations of Insurance companies in New Mexico. So when we prepare claims for your practice they are 100% compliant. Our medical billing services in New Mexico are designed to solve all the billing relevant issues you face.

Services We Provide

These are the medical billing services we provide. You can choose the service which suits your practice.

Insurance Credentialing

We prepare the required documents to help you get credentialed with any insurance providers you want. Our priority is to get you credentialed with top insurance providers in New Mexico. In this way, you can start providing care to your patients without any delay.

Insurance Verification

We take the patient details and verify them from their insurance providers. We do this verification to make sure their insurance is valid and covers the cost of treatment they need. This prior verification helps prevent payment issues later.

Medical Coding

We add accurate medical codes in claims. We do this by taking documentation from your practice of services provided to patients. Then we add medical codes which insurance companies recommend for each service provided to patients.

Claims Submission and Follow Up

We prepare your medical claims and carefully review them before submission. Then we submit these claims on time to insurance providers. Our team follows up on each claim until they are approved. This increases the approval rate and you get payments faster.

Denial Management

If claims are rejected by insurance companies. We take the claims and review them properly to find out the cause of denial. When we figure out the cause, we fix it and resubmit the claims. We stay in touch with the insurance company until these claims are approved.

Account Receivable Management

We keep track of your outstanding balance. When we see an unpaid bill from patients or insurance companies. We reach out to them and inform them about their due payments. We keep reminding them until they clear these payments. This reduces your AR days.

Revenue Cycle Management

In this service we handle the complete revenue cycle of your practice. This includes patient verification, preparing claims, claim submission and all other steps which are needed to get you paid. We handle everything so you can focus on providing care to your patients.

Why Choose Claims4Medical?

01.

Customized Solution

We understand that each practice is unique with its style and size. That is why we design custom medical billing services for each medical practice. This helps your practice in getting the solution where you lack expertise.

02.

Expereciend Team

We have a team of certified and experienced medical billing experts. Our team has years of experience working with New Mexico practices and insurance companies. This experience is useful for your practice in getting the claim approved faster.

03.

Dedicated Account Manager

We assign a dedicated account manager to your practice. This manager understands the workflow and goals of your practice. Then they manage your billing and make sure it is going according to the goals. If you have any questions regarding your billing, this manager is always available to answer them.

04.

Billing Software

We provide your practice with our medical billing software. Our team integrates this software with your practice. This software is easy to use and you don’t have to change your system. You can manage everything relevant to billing from it. Like insurance verification, tracking claim status and checking patient due payments.

05.

Detailed Reports

We provide detailed medical billing reports to your practice. These reports are transparent and easy to understand. In these reports we include the progress of your billing, status of your claims and any other information that requires your attention. It helps you get the idea where your practice is going.

Success Stories

Frequently Asked Questions

Do You Work with Government Insurance Plans?

Yes, we work with government insurance plans like Medicaid.

Your practice will see the results like increased revenue, faster payments and reduction in claims denials after 2 to 3 months of working with us.

Our medical billing services prices are not fixed. The price depends on the size and needs of your medical practice. You can contact us to get a custom price quote.

Yes, we work with healthcare clinics of all sizes.

We have worked with more than 68 specialities till now. Some of them are. You can check out the complete list in our specialty page.

  • Family Medicine
  • Orthopedics
  • Cardiologist
  • Pediatrics
  • Internal Medicine
  • Endocrinology