Medical Billing

Eligibility and Benefits Verification:

Insurance Verification has become the most crucial part of the RCM cycle as it could avoid denials relating to COB which affect the reimbursement within the 30 to 60 cycle. Our dedicated team uses internally developed applications and if require physical calling to determine the eligibility of the patient avoiding rejections and denials forefront.

Charge Entry:

At YLBS, we do charge entry as a part of the full RCM services we offer you. Since we have prior experience in handling different renowned medical billing software and several medical specialties, we start with the process directly, saving staff training time and effort.

Payment Posting:

YLBS accesses payment information in one of two ways:

Electronic Remittance Advice files (ERA’s), which are posted automatically to the patient’s financial account; and

Paper Remittance Notices, which are forwarded to YLBS upon receipt by the practice.

The ERA’s and Remittance Notices are heavily scrutinized by our Payment Posting Team to ensure appropriate payment. If there is a remaining balance on a claim or a claim is denied, it becomes the responsibility of our expert Accounts Receivable team.

Account Receivables and Denial Management:

YLBS utilizes processes on the front end of the medical billing cycle to limit the number of claims that are denied or underpaid. However, another level of rigorous follow-up is in place if denials do occur. Our experienced Accounts Receivable specialists are trained to identify the appropriate response to the varied denials that arise. They are also trained to recognize patterns and communicate with the other team members, as well as practice staff, to prevent repeat denials in the future.