We understand that payment collection is a huge undertaking & and if you must return that money, it is a worrisome process. Our services give you one thing less to worry about!
Quality Compliance Certificates:
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Through in excess of 100 primary care and
specialty.
You Focus On Activities That Drive Business Value
Capital Health Billing , a trusted medical Billing partner, offers comprehensive credit balance solutions to identify, resolve all credits, including patient, government, & commercial credit balances, and then implement remedial actions to prevent them from occurring again. Our sole aim is to eliminate credits & reduce your liability. Our top-notch analysts and advanced proprietary technology ensure instant refunding to patients without taking days or weeks. Our in-depth analysis of issues behind credits allows us to identify opportunities to prevent future overpayments from ever occurring. We ensure that your health system doesn’t absorb millions of dollars in hidden costs related to credit balance.
Resolve Credits Swiftly with Better Accuracy
Our credit balance experts won't let credit balance management consume your staff resources and time. Our services timely resolve credits to help you build positive relationships with patients/payers.
Our analysts analyze each patient's account in-depth to identify and resolve credit balances. Then, we process the refund and ensure the account balance is zeroed out.
We validate each refund request within 60 days from the request's submission date. If the request is valid, we will process the refund. We raise an appeal after thorough validation in case of an invalid refund request.
Our experts review refund requests from commercial payers; if they're valid, we process the refund. However, If the request is invalid, it undergoes disputes for further review and possible appeal.
Our team of billing and coding experts will help you out to successfully reimburse your claims from the payers.
Our Process
Our credit balance analysts won't let your staff spend too much time on credits to reduce administrative burden and help them focus on revenue-generating activities.
Credit balance experts at Capital Health Billing review transactions, EOBs/ERAs, and patient history to identify and analyze errors for accurate credit balance management.
We review contract details to recover permissible amounts and correct misposted adjustments/payments for enhanced efficiency in our process.
We thoroughly create patient or insurance refund packages, including necessary documents, following client specifications and federal guidelines.
We increase the opportunities for self-pay transfers or secondary insurance billing by correcting the adjustments or payments.
Credit Balances are Complex & No Fun!
Credit balances often occur due to patient/payer overpayments, duplicate payments, and posting errors, which result in liability on your accounts receivable ledger. Capital Health Billing, a trustworthy medical coding & billing partner, addresses this through effective A/R solutions to avoid financial compliance issues and penalties. Our holistic approach eliminates all risks of negative publicity, reputational harm, or audit costs. We identify errors, resolve credit balances, and prevent recurrence to help you with financial stability.
We have a decade of experience offering diverse healthcare services, including credit balance resolution and refund processing services. Our credit balance specialists convert your credit into savings and help your organization become compliant with unclaimed property regulations. We simplify credit balance management and utilize your data to identify the opportunities to reduce the payouts. Our leading analysts handle credit balances by saving your time, energy, and resources to allow your staff to improve cash flow.
Your Go-to Medical Billing Partner
Our credit balance services and other medical services, offer extensive advantages, giving you financial peace of mind. We comply with HIPAA regulations and the latest industry guidelines to protect your market image and build positive relationships with healthcare payers. Our analysts identify root causes, resolve credits timely, and adhere to Medicare rules to minimize non-compliance risks, litigation, and penalties for comprehensive support.
FAQ’s
Get All the Answers About Our balance credit customer service!
Our credit balance services ensure timely refunds, minimize compliance risks, enhance financial stability of your organization and develop positive relationships with payers and patients.
Our team instantly processes and refunds overpayments by following efficient credit balance procedures. We ensure a swift and accurate resolution for both payers and patients.
We adhere to credit balance guidelines by conducting thorough analyses, promptly addressing overpayments, and ensuring timely refunds, in strict compliance with industry regulations.
Credit balances are often generated in healthcare billing due to overpayments from patients or payers, duplicate payments, incorrect allowances posting, and missed postings during financial transactions.
