Healthcare
Medical billing has become a critical component of revenue management for healthcare providers and hospitals. Each year, millions of dollars are lost due to underpricing, coding errors, missed charges, and un-reimbursed claims. BlackRokk’s Medical Billing Services are designed to eliminate these losses by ensuring accurate and efficient billing processes. Our expertise and professional approach free up our clients from the tedious tasks of billing and follow-up, allowing them to focus on core healthcare operations. Utilizing the latest technologies and software, our services are user-friendly and customized to meet each client’s unique requirements.
We collect essential information from the provider or practice and input it into our secure database.
The majority of claims are submitted electronically, with only a small number sent as paper claims, depending on the insurance carrier’s requirements.
Statements are mailed directly from our office on behalf of the client, following protocols tailored to each client’s specific preferences regarding statements and collections.
As payments and explanations of benefits (EOBs) are received, we post them into our system. Each EOB is audited to ensure the correct payment and benefits have been applied.
We generate monthly reports, with the flexibility to create customized reports based on client needs. This transparency allows practices to monitor performance and financial health.
Medical billing is a complex and essential part of today’s healthcare industry. Without the right knowledge and methodologies, practices risk not receiving the proper reimbursements—or any reimbursement at all. BlackRokk offers professional billing management services that enhance revenue generation and ensure accurate reimbursement.
We offer specialized Demographic and Charge Entry Services across various healthcare specialties, from general practice to more complex fields. Our demographic identification and verification services are designed to streamline patient registration processes and ensure accuracy in billing.
We catalog patient details in billing software, including demographic, insurance, employment, and sponsor information.
We verify and update patient information within the billing system as necessary to ensure records are always accurate and up to date.
Our team enters critical details such as CPT codes, ICD codes, modifiers, and other necessary information into the billing software for accurate claim submission.
Once demographics and charges are entered into the system, claims are electronically submitted to the insurance company. This process accelerates reimbursement and reduces the likelihood of claim rejection, ensuring a more efficient revenue cycle.
At BlackRokk, we implement a two-stage quality check system to ensure accuracy throughout the claim processing cycle. This approach significantly reduces underpayments and claim denials, leading to faster and more accurate settlements.
Our quality assurance team meticulously reviews each demographic and charge entry in the billing software, ensuring 99% accuracy through comprehensive audits.
A secondary quality audit is conducted on randomly selected entries. Key fields such as patient name, DOB, insurance ID, CPT codes, and modifiers are reviewed for accuracy before claims are submitted electronically to insurance companies.
BlackRokk’s Payment Posting Services offer a streamlined approach to account management and payment processing, helping healthcare providers reduce costs and maintain accurate records. Our skilled team handles insurance payments, self-payments, and denial postings with a high degree of accuracy and confidentiality.
We manage primary and secondary insurance payment postings, ensuring co-insurance transfers and adjustments are handled correctly.
Our team posts payments made directly by patients, ensuring all transactions are recorded accurately.
We carefully review denied claims and resubmit them with all necessary documentation (e.g., medical records, referrals, authorizations) within the required time frame to minimize losses.
Our quality assurance team reviews each cash posting transaction to verify accuracy. This includes checks on co-insurance transfers, adjustments, and denials. The team ensures that all re-submitted claims are processed on time, with no records or supporting documents missed.
As part of our service, we provide clients with detailed reports on transaction volumes and other key performance indicators. These reports can be generated on a daily, weekly, fortnightly, or monthly basis, depending on client preferences, and offer valuable insights into claim processing, payment posting, and revenue management.