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Swisegood Medical Billing Services

JenniHi, I’m Jenni, a dedicated medical biller specializing in alternative medicine and mental health modalities.

My mission is to support practitioners in their mission to heal; and enable them to focus on their passion for providing compassionate, holistic care to those in need.

Our Medical Billing Services Include:

Forensic Billing

At the forefront of healthcare integrity, Forensic Billing delves deep into medical bills and records, meticulously uncovering errors, fraud, and abuse. With precision and expertise, we rectify discrepancies in charges and payments, ensuring fairness and accuracy in healthcare billing.

Insurance Eligibility and Benefit Verification

We specialize in deciphering the intricacies of insurance eligibility and benefit verification tailored to the specific services offered by each provider. Our meticulous approach includes thorough verification of provider network status with patient insurance plans. Additionally, we provide comprehensive information in a clear and accessible manner, ensuring that both providers and patients can confidently navigate insurance requirements, ultimately optimizing revenue and enhancing patient satisfaction.

Resolution of Billing Denials

Specializing in forensic billing and resolution of billing denials, we meticulously unravel the complexities of denied claims to ensure maximum reimbursement for healthcare providers. With expertise in navigating intricate billing processes, we are dedicated to optimizing revenue and streamlining operations for medical practices.

Provider Credentialing and Contracting

Provider credentialing and contracting form the backbone of the billing and revenue cycle for healthcare providers. This vital process lays the groundwork for a successful practice, ensuring seamless operations and financial stability.

Insurance and/or billing that we work with for professional billing

AARP Medicare Advantage
Aetna
Cigna
Coordinated Care
EAP plans
EBMS
First Choice Health Network
Labor & Industries
Workers Compensation-Self Insured (e.g., Sedgwick, Corvel, Multicare, PSWCT, Eberle Vivian, Helmsman, etc…)
HMA
Kaiser HMO
Kaiser PPOLifewise
Medicare
Medicaid
Molina (Commercial and Medicaid)
MVA’s 1st and 3rd party
OPTUM Care Network Optum Physical Health PacificSource
Premera (Commercial and FEP)
Regence (Commercial and FEP)
Regence Group Administrators
Tricare Prime (Active Duty Military and beneficiaries)
Tricare Select
Triwest VA CCN (Veteran Affairs)
Trusteed
United Healthcare
United Behavioral Health
U.S. Family Health Plan
and many more…

Why Use Our
Medical Billing Services?

Comprehensive Solution

We offer a comprehensive solution that handles all aspects of your billing. We can even utilize your current EHR software and streamline the billing processes to increase practice revenue.

Latest Technology

We use the latest technology and best practices to ensure accuracy and compliance.

Personalized Support

We provide personalized support and reporting to help you optimize your revenue cycle.

Reliable Medical Billing Service

We offer a reliable and efficient medical billing service that understands the complexities of the healthcare industry and saves you time and money on your billing processes.

Our Clients Include:

Naturopaths

A Naturopath is a healthcare practitioner who employs natural therapies and holistic approaches to promote healing and prevent illness in individuals.

Mental Health Providers

A Mental Health Provider is a professional who offers assessment, treatment, and support for individuals experiencing mental and emotional challenges to improve their psychological well-being.

Physical Therapists

A Physical Therapist is a healthcare professional who helps individuals recover from injuries, improve mobility, and manage physical conditions through targeted exercises and therapeutic techniques.

Massage Therapists

A Massage Therapist is a practitioner who uses manual manipulation of soft tissues to promote relaxation, alleviate muscle tension, and enhance overall well-being

Acupuncturists

An Acupuncturist is a practitioner who inserts thin needles into specific points on the body to stimulate energy flow and promote healing for various physical and emotional conditions.

Occupational Therapists

An Occupational Therapist is a professional who assists individuals in regaining or developing skills necessary for daily life activities, enhancing their independence and overall quality of life.

FAQs

Frequently asked questions.

Q: What is medical billing?

A: Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider.

Q; Why should a doctor utilize a forensic billing service?
A:

  1. It can help the doctor save money by identifying and correcting any mistakes or discrepancies in the billing.
  2. It can protect the doctor from legal liability or reputation damage if the billing is found to be inaccurate or fraudulent.
  3. It can improve the doctor’s relationship with the patients and the insurance companies by ensuring fair and transparent billing practices.

A forensic billing service can provide a doctor with peace of mind and confidence in their billing process.

Q: What are the benefits of outsourcing medical billing?
A: Outsourcing medical billing can save time, money, and resources for healthcare providers. It can also improve accuracy, compliance, and revenue cycle management.
Q: Why shouldn’t I just do my own medical billing?
A: In addition to missing out on all the benefits we just described, doing your own medical billing means dealing with the stress and frustration of insurance companies, regulations, and coding changes. Doing your own billing also means losing access to expert billers who have the knowledge and experience to handle any billing issues or challenges.

Our medical billing services get Providers back on track with clean claim submissions to avoid denials!

Contact Us

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