Smart Solutions with SHMEDEX Medical Billing Services

Accurate and Error-Free Medical Billing Services at SHMEDEX

At SHMEDEX, our medical billing services help healthcare providers take control of their revenue cycle with ease. Our goal is simple—maximize your revenue while keeping denial rates to a minimum. You get paid faster and more consistently with smooth, accurate, and error-free billing processes.

Our professional billers guarantee smooth, precise, and stress-free medical billing services for small practices. We use EHR/EMR systems to optimize your claims for optimum acceptance, which immediately impacts your bottom line by improving your revenue.

As a leading medical billing company in the U.S., SHMEDEX saves you valuable time and reduces unnecessary costs. Ready to experience billing success? Let us handle the complexities of coding, credentialing, eligibility, and AR follow-ups.

98% Clean Claim Submission Rate
24 Hour Claim Submission
Specialty-Specific Billing Expertise
Real-Time Performance Analytics
Dedicated Account Managers

Maximize the Revenue with Our Medical Billing Services

Our medical billing consultancy at SHMEDEX gives healthcare providers complete control over their entire revenue cycle, including billing of patients, collection, denial management, and accounts receivable. We provide a la carte consulting services that fit your needs and bring your practice to the path of consistent revenue increase.

Furthermore, we maximize the revenue of your practice by identifying and eliminating inefficiencies in your billing process. The accurate coding reduces claim denials and speeds up reimbursement cycles. We stay up to date with payer regulations and compliance standards to help your practice avoid costly errors and penalties.

Why Outsource Medical Billing Services With SHMEDEX?

We help practices of all sizes increase revenue and reduce administrative burdens

Maximized Revenue

We maximize your revenue by identifying and fixing coding problems and reducing claim denials with accurate reimbursements. Our team ensures that every service performed is documented correctly and billed.

Faster Payments

We accelerate your revenue cycle by submitting claims on the same day as the appointment and consistently following up on unpaid claims. Our timely submission process significantly reduces the timeline for payment.

Compliance Assurance

We continuously update ourselves regarding HIPAA, CMS, and specific insurer policies to ensure compliance in your billing. Our expertise provides unique protection against regulatory violations.

Advanced Technology

Our cutting-edge software integrates with your existing EHR system, providing a central dashboard with real-time claim status and revenue metrics.

Dedicated Support

Our account manager provides one-on-one service every time you request assistance and will respond quickly to all requests. You will have a single expert available to answer billing questions.

Transparent Pricing

We believe in transparent, upfront pricing with no hidden charges or long-term commitments. Our straightforward plans allow your practice to budget confidently.

Medical Billing and Coding Services by SHMEDEX

SHMEDEX provides medical billing and coding services to healthcare providers in the USA. We take care of the entire billing cycle, including proper coding of diagnoses and procedures, submission of claims, posting of payments, and follow-ups. Our team of experts will make sure that every claim is free of errors and is filed promptly, which will contribute to fewer denials and faster reimbursements by insurance carriers.

Our medical billing services in USA adhere to the latest industry standards and utilize sophisticated software to handle your billing effectively. We tailor our healthcare billing services to your needs, whether you are a small clinic or an extensive medical practice. SHMEDEX can help you spend more time taking care of patients and leave your billing to us as we ensure that you have a constant cash flow.

Our Medical Billing Process

A streamlined workflow designed to maximize your reimbursements

Patient Registration & Eligibility Verification

We verify patient insurance coverage, eligibility, and benefits before the date of their appointment to reduce surprises and the likelihood of claim denials. Each patient site, time, and visit detail is confirmed to verify co-pays and deductibles and ensure authorization is confirmed.

Charge Entry & Coding Review

Our certified coders can review all documentation to ensure proper use of CPT, ICD-10, and modifiers. Wherever there are specific payer requirements, we develop a plan to reduce rejections and maximize reimbursement while remaining compliant with national standards and minimizing the risk of audits.

Claim Submission

All our claims are submitted electronically within 24 hours of receiving complete documentation. This expedited response and straightforward process minimizes delays in submission to payers, accelerating your cash flow and minimizing claim rejections due to missed deadlines or poor data entry.

Payment Posting & Reconciliation

Our team promptly posts all insurance payments and EOBs and reconciles payment postings with expected reimbursement. This reconciliation process enables us to identify underpayments, discrepancies, or missing payments to help ensure that your practice collects revenue.

Denial Management & Appeals

We monitor, analyze, and manage claim denials. Our specialists find the driving root cause and trends, fix erroneous claims, and file appeals professionally. We will ensure you receive the reimbursement you are entitled to while additionally preventing issues that are repeatable and leaving your revenue in the future.

Patient Billing & Collections

We manage and follow up on patient statements and communications with empathy, care, and clarity. We strike a balance between professionalism and compassion to help the patient understand their statement while calling the patient to action to make timely payments, preserving your practice's reputation while increasing your collection rates.

Comprehensive Reporting

We will deliver detailed and easy-to-understand observations on every level of your revenue cycle. Our transparent reporting gives you the ability and confidence to make informed decisions, analyze your practice's health, and once again put you in control of your revenue cycle.

Medical Billing Services for Small Practices

We offer medical billing services that assist small practices in handling their billing processes efficiently and receiving payments within a short time. We handle all aspects of patient insurance verification, proper coding of procedures, making claims, and pursuing payment.

We also follow up on your income and give you reports to inform you of how your practice is fairing in terms of finances. Our team is up-to-date with billing rules to ensure that you remain compliant. Whether you are an individual provider or a small clinic, we provide you with customized service to ensure your billing is easy and efficient.

Benefits of Choosing Our Medical Billing Services

Comprehensive solutions to optimize your revenue cycle

KPI Dashboard

We provide a real-time KPI Dashboard that tracks critical billing metrics like claim success rates, AR aging, and collections, allowing your practice to make data-driven decisions and improve financial performance.

Revenue Monitoring

We track your revenue cycle and observe the discrepancies, follow the income trends, and enjoy the areas to improve. Our healthcare billing services ensure a steady cash flow and minimize losses in revenues.

Patient Balancing

Our accurate patient balance management by tracking co-pays, deductibles, and outstanding bills, reducing errors, and improving transparency between your practice and patients.

Automated Validation

We use automated validation tools to check claim accuracy, eligibility, and coding compliance before submission, reducing denials and speeding up the reimbursement process.

Performance Metrics

We track detailed performance metrics such as denial rates, reimbursement times, and billing accuracy, giving you actionable insights to optimize your billing operations.

Bills Collection

We handle bill collections efficiently by following up on unpaid claims and patient dues, improving your practice's cash flow while maintaining patient satisfaction.

AI Workflow

We integrate AI into our workflow to automate repetitive tasks, reduce manual errors, and streamline processes, enhancing overall billing efficiency.

Intelligent Billing

We offer intelligent billing systems that adapt to payer-specific rules and regulatory changes, increasing claim acceptance rates and reducing administrative burdens.

Compliance Driven

We strictly adhere to HIPAA and industry regulations to protect patient data and ensure secure, audit-ready billing practices that keep your practice compliant.

Advanced KPI Dashboard

Real-time insights into your practice's financial performance

Claim Success Rates

Monitor your first-pass acceptance rates and identify patterns in claim rejections to improve submission accuracy.

AR Aging Analysis

Track outstanding payments by age brackets to prioritize collection efforts and reduce days in accounts receivable.

Collection Rates

Compare expected vs. actual collections by payer to identify underpayments and contract compliance issues.

Ready to Streamline Your Medical Billing?

If you're looking to reduce billing errors, speed up reimbursements, and improve your overall revenue cycle, SHMEDEX is here to help. We do all the coding, claim submission, denial management, and collections so that you can concentrate more on patient care.

Our medical billing processes are compliant with the industry and will guarantee precision, clarity, and quicker remunerations. We provide the best medical billing services across the US with accuracy and precision.

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Medical Billing FAQs

Answers to common questions about our services

A medical billing firm takes care of all the billing procedures of a healthcare provider, such as coding, submission of claims, and collection of payment. It can minimize mistakes, accelerate reimbursements, and verify the observations of insurance regulations. Outsource billing and spend more time taking care of patients and less time filling out paperwork.

At SHMEDEX, we provide medical billing services at an end-to-end level, including insurance verification, coding, claim filing, claim denials, and A/R follow-ups. We also do credentialing and patient billing and give real-time reporting. We make it easier to bill you and enhance the revenue cycle.

Medical billing services usually cost between 4-9% of your monthly collections. It may also differ depending on the volume of claims, specialty, and complexity of services. SHMEDEX has tailored plans according to the size and requirements of your practice.

Medical billing services streamline administrative tasks, reduce billing errors, and ensure faster reimbursements. They allow providers and staff to focus on patient care instead of paperwork. With expert handling of claims and payments, your practice runs more smoothly and profitably.