Clemmons, North Carolina 27012, United States
Expert Medical Billing Services
Spinning Revenue has a proven process to increase your pay
The key to guarantee reimbursement is proper medical billing. The simplest of mistakes can result in rejections, denials, and overall delays in your reimbursement.
Our team follows a meticulous workflow to achieve clean claims on the first pass, resulting in faster collections:
- All claims must go through a Prebilling Scrub Checklist before they are submitted
- All claims are submitted to the appropriate insurance company within 24 hours of receiving the notification to bill
- Once a claim is submitted, we will follow up on the claim until the claim is paid.
Prebilling Scurb
Our dedicated team of reimbursement specialists will review all claims prior to claims submission, performing a “Prebilling Scrub” utilizing the payer guidelines to ensure that your claims are sent out correctly.
Our "Pre-Billing Scrub" goes through a detailed checklist to ensure the accuracy of key components:
- Patient demographics
- Coding
- Other details (modifiers, quantity, etc.)
- Payer information
This method of "scrubbing" the claims help to ensure that the claim data is being sent to the payer accurately so that the claims are "clean" and should be paid on the first pass.
By having a "clean" claim your rate of payment is greatly increased, and your denials are less.
During the "scrub", any errors will be corrected or returned to the office for review.
Once the claim has passed the "scrub", the claim will be submitted to the payer.
Our "Pre-Billing Scrub" will reduce rejections and denials.
Claim Submission
All claims will be reviewed within 24 hours of receiving the notification to bill. If a claim is deemed “clean”, it will be submitted to the appropriate insurance company within 24 hours of receiving the notification to bill.
The claims will be submitted by the appropriate methods as required by the payer. Our team ensures that we are up to date on all specific payer claim requirements, including the claims address, payer id's, etc.
Claim Tracking & Rejections
When claims are billed out, we immediately begin tracking the claims, follow-up is done at day 15 and again within 30 days. We continue to follow up until the claim has been resolved.
The team starts working the rejected claims immediately and begin pursuing those rejected or unpaid claims to resolve all issue timely. We have an aggressive follow team that will ensure claims are processed and posted. Reports are provided and updated regularly so that no claim is left untouched. Up to date and accurate notes are always placed on the billing chart, to ensure complaint follow ups.