South Dakota Medical Billing Services

“Increase Revenue and Reduce Stress with Our Medical Billing Services”

Let us manage your medical billing services and you will see faster payments, increased revenue and reduction in claim denials.

Our Achievements

33%

Revenue Increased

69+

Serving Specialities

44%

Reduction in Claim Denials

50

Available in States

Billing Challenges for South Dakota Practices

Healthcare providers face multiple billing challenges in South Dakota. Here are some of them

Complexity Of Insurance Payers

Each insurance company has its own unique requirements for medical billing. When there are multiple insurance companies the medical practice has to deal with, it becomes a complex process. Because submitting claims with all requirements fulfilled is challenging.

Compliance Issue

South Dakota insurance companies have unique rules and regulations for billing. They frequently change these policies regularly. This makes staying compliant with insurance companies challenging due to new rules each time. Practices don’t have enough resources to stay updated with these changes.

Limited Resources

Small practices in South Dakota don't have resources or expertise to manage the medical billing and coding tasks effectively. So they rely on their administrative team to handle the billing. As a result they submit inaccurate claims which leads to claim denial or delays.

Overwhelmed TeamIssues

When there are more patients coming in to practice for care. It becomes an overwhelming situation for small practices to manage both providing care and billing. When claims are submitted they are inaccurate and have minor details missing like code or documents.

How We Improve Your Cash Flow

Our medical billing services in South Dakota are designed to solve these issues for your practice. Here is how:

Reduced Claim Denials

We have medical coding experts who write the codes for your claims. We carefully review each claim before submission. After submission we follow up on each claim to reduce the delays and get them approved faster. This leads to reduced claim denials.

Faster Payments

We prepare accurate claims and submit them in real time. Once submitted we follow up on each claim to resolve any issue that arises. This reduces the possible delays in claims and you receive payments faster.

Compliance

We have a team of medical billing experts. They stay updated with changing rules and regulations of insurance companies. When preparing medical claims we make sure that updated rules and regulations are followed. This makes your practice 100% compliant with insurance companies.

Increased Revenue

We do revenue analysis regularly. This helps us find areas which need improvements. We keep track of your outstanding balance. When we see there are some unpaid bills. We reach out to patients or insurance companies and remind them to clear their unpaid bills. We keep reminding them until your practice gets the payment.

Why Work With Claims4Medical?

Insurance Credentialing

When a patient with new insurance companies visits your practice to get treatment. You can’t start the treatment until you are credentialed with their insurance providers. We help you get credentialed with top insurance providers in South Dakota. So you can start the treatment and get paid instantly.

Dedicated Account Manager

We provide your practice as a dedicated account manager. This person is the point of contact between your practice and us. They understand your practice working flow and goals. Then this manager makes sure your billing is going according to the goals. In case of any query, they are always available.

Experienced Team

We have a team of 1,000+ medical billing experts. They have years of experience working in South Dakota. From rural to urban areas, we have worked with everyone. This helps your practice get the services of companies who know the ins and outs of South Dakota insurance providers.

Government and Private Payers

We work with both governments such as Medicaid and private insurance providers in South Dakota. We understand that sometimes it gets problematic for practices to handle both. That is why we handle all the billing from both providers so you can’t lose any penny which you deserve.

Specialities Covered

We work with specialties of all sizes and fields. We have worked with more than 69+ healthcare specialities. You can find the complete list from the top of this page. Some of the famous specialities names are family medicine, cardiology, orthopedics, pediatrics, dentistry and endocrinology.

Technology-Driven Billing Solutions

We are a technology driven medical billing solution provider. We have developed and advanced medical billing software. Which has all the features a medical practice needs to manage their billing relevant tasks.

We integrate this software in your existing system. This process doesn’t take much time and is handled by our expert team. In this way, you don’t have to change your current system which you are using. In this software you can manage to do these things.

Our Process

01.

Insurance Verification

We take patient details and verify them from their insurance providers. In this verification we check two things, Insurance validity and Insurance coverage. This prior verification prevents future payment issues.

02.

Medical Coding

We take the document of services provided to patients. Our team of medical coders convert those services into medical codes. We follow the latest rules and codes which insurance companies prefer.

03.

Claim Submission

We prepare accurate medical claims and submit them to insurance companies. We do this submission in real time. Then we follow up on each claim until they are approved. This reduces delays in claim processing and payments.

04.

Denial Management

When claims are rejected from insurance companies. We take those claims and put them in our system. We figure out the reason for denial. Once we have figured it out, we fix it instantly. Then we resubmit the claims to insurance companies. We stay in touch with them until these claims are approved.

05.

Account Receivable Management

We keep track of the outstanding balance of your practice. This helps us know if your practice revenue is on track or not. When we find any unpaid bill, we reach out to the patients or insurance company. We remind them to pay their bill and keep sending them notification until they pay the bills.

06.

Reports

We create detailed and transparent reports and send them to your practice. These reports are easy to understand. In these reports, you will find progress of your billing which includes status of your claims, revenue updated etc. It helps you know where your practice is standing to make growth decisions.

Success Stories

Frequently Asked Questions

How Much Does Your Medical Billing Services in South Dakota Cost?

Our prices are not fixed, they depend on the size and needs of your practice. To get a custom price quote, schedule a free consultation call with us.

Your practice will start seeing results within the first two to three months after working with us.

Yes, we are 100% HIPAA compliant. We follow strict protocols to protect your data.

Yes, we work with healthcare practice with multi location clinics.