Vermont Medical Billing Services​

“Proven Medical Billing Experts”

We handle the complete revenue cycle of your practice. So you can focus on providing care to your patients.

Billing Challenges for Vermont Practices

Healthcare providers in Vermont face multiple billing relevant challenges. Here are some:

Delayed Payments

Medical practices submit claims to insurance companies and wait for payments. But that is not the way to get claims approved. When there is no proper follow up done processing of each claim is delayed. As a result practice’s get paid very late.

High Claim Denial Rates

Medical practices provide care and prepare claims in-house. When these claims are submitted they include minor errors which lead to claim denials. Because they don’t have a denial management process, the denial rate increases.

Administrative Burden

Small medical practices don’t afford in-house medical billing and coding experts. So they ask their practice administrative team to handle the billing process. This leads to a high burden on them and they end up submitting claims with mistakes.

Compliance Issues

Insurance companies in Vermont have unique requirements for medical billing. They frequently change their insurance policies. Medical practice doesn’t have a dedicated team to stay up to date with these rules. So when they submit claims, they have compliance issues.

Revenue Loss

Medical practices don’t have a system to track the status of claims. When some claims get denied and get delayed, practices aren’t aware of that. Also they don't get actual data of outstanding balance. This leads to revenue loss.

Benefits of Our Medical Billing Services

Our medical billing services in Vermont are designed to solve the problems your practice is facing. Here are some benefits you get when you take our services:

Faster Payments

We prepare accurate claims and submit them to insurance companies in real time. Then we follow up with insurance companies and track the status of each claim. This leads to faster claim approval and increases the speed of payments.

Increased Revenue

We review each claim before submission. Then we follow up on each claim until they are approved. Our team tracks the outstanding balance of your practice. We remind patients and insurance companies to pay their unpaid bills. This recovers your lost revenue and you instantly see your revenue increasing.

Medical Coding

Our medical billing team stays updated with changing rules of insurance companies. When they change any rule we note them in our system. When we are preparing claims we use the updated rules. This increases the compliance of your claims and practice.

Reduced Administrative Burden

We manage the complete revenue cycle of your practice. From preparing claims to submitting them and other steps till you get paid. This saves your practice time which they can focus on providing care to patients.

Lower Denial Rate

We have a dedicated denial management team. Firstly we make sure there are no issues in claim before submission. If by chance we miss anything and claims are denied. We reopen the claims, find out the issues and fix them. Wr resubmit claims and follow up on them until each claim is approved.

Our Medical Billing Process

Initial Consultation

We do a free consultation session with your practice to understand your needs and goals. Then we prepare a customized billing solution for your practice.

System Integration

Our team integrates our services in your existing system. We take the required data to start the process.

Patient Verification

We take patient details and verify them from their insurance payers. We do insurance verification prior to treatment to find out these two things. One is if their insurance is valid. Second is if their insurance covers the cost of treatment. This prevents payment issues after treatment.

Medical Coding

We take the services documentation provided by your practice. Our medical coding experts translate those services into codes. We use the latest medical codes suggested by insurance companies. This improves the accuracy of claims.

Denial Management

If claims are denied by insurance companies. We reopen these claims to find out the cause of denial. Once we find out the errors. We fix them and optimize the billing process to prevent similar issues from happening again. We resubmit these claims and get them approved faster.

Claim Submission

We prepare the required documents and review them carefully. We submit these claims to insurance companies through billing software. Then we follow up on these claims to make sure there are no delays in processing. We inform your practice when payments are posted.

Account Receivable Management

We keep track of the outstanding balance of your practice. When we see an unpaid bill by a patient or insurance company. We reach out to them and remind them to pay their due bills. We keep reminding them until bills are cleared.

Detailed Reports

We provide detailed and easy to understand reports. These reports include the progress of your billing, status of your claims and any issue that needs your attention. It helps you make the informed decision for your practice growth.

Why Choose Claims4Medical?

01.

Experts & Experienced Team

We have a team of more than 1,000 medical billing and coding experts. These experts have years of experience working with Vermont practices. We know the ins and out of Vermont insurance companies. This helps your practice get the best services you deserve.

02.

Insurance Credentialing

We prepare the required documents, and help you get credentials with top insurance companies in Vermont. If you do it by yourself, the process is complex and takes a lot of time. We get it done fast. So when a patient visits your practice, you don’t have to wait a lot to start the treatment.

03.

Customized Services

We understand that each medical practice is unique with its size and workingstyle. That is why we don’t provide one solution to everyone. We do a free consultation session with you to understand your needs. Then we create a billing solution specially designed for your practice.

04.

Dedicated Account Manager

We provide your practice with a dedicated medical to handle your accounts. This person understands your practice needs and working style. Our manager handles the complete billing process and makes sure it is going according to your goals. If there is any query, this person is the point of contact between you and us.

05.

Billing Software

We provide your practice with our advanced medical billing software. Our team integrates this software in your existing system. In this software you can manage everything relevant to medical billing. I.g Claim Submission, Tracking status of your claims, checking outstanding balance of patients etc.

Success Stories

Frequently Asked Questions

What Types of Claims Do You Manage?

We manage claims both private and government like Medicare.

Yes, we provide our medical billing services to small and large healthcare clinics.

We have served more than 69 medical specialities till now. You can find the list in our speciality page. If you don’t find your clinic field there, reach out to us and we will create custom services for you.

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

Yes, we are HIPAA certified. We follow the strict protocols to protect your data and make sure it is shared with authorized persons only.