Billing Services
TwelfthMade 360 will to take care of all your billing needs from insurance verification, claim creation, claim submission, payment posting, follow-up, denial and patient billing.
Claim Submission and Scrubbing
TwelfthMade 360 staff works diligently to ensure that claims are submitted accurately and on time, getting providers paid at the very first submission. The staff along with our medical billing software delivers comprehensive claim submission and follow-up services to all commercial insurance payors. To help streamline the billing process, all claims are checked before submission for missing or incorrect information resulting in less denials and faster payments. * Dedicated follow-up within 30 days of submission Claims correction and re-submission Partner with us for a more efficient and profitable billing workflow.
Patient Billing and Statements
Many healthcare providers find it deficult to maintain and collect the correct patient balance. T3 can help to keep a clean line of communication and continue patient satisfaction. If there is patient responsibility of non-covered services T3 will: Send out statements and invoices electronically, detailing the services provided and amount due. E-Statements and invoices simplies the payment process, Respond to all patient account inquires and Handle all follow-up and reminder calls regarding balances due
Denial Management
In some cases claims will deny for various reasons. Denial management requires a combination of detective work and problem-solving skills to find the root cause, resolve and prevent furure denied claim. The Process: 1.) Identify and understand - regularly check the payer’s explanation of benefits (EOB) and electronic remittance advice (ERA) statements for claims to identify denials and see what caused them 2.) Anaylze and categorize - sort denial based on reason and watch for patterns. 3.) Correct and re-submit - T3 will make the necessary changes and include any additional documentation before resubmitting.
Accounts Receivable Management
Accounts Receivable Management is a crucial part of a practice. By outsourcing Accounts Receivable Management to us, businesses can focus on core operations while we handle the timely invoicing, accurate credit evaluation, and proactive collections to ensure steady cash flow. T3 will follow-up on unpaid claims within 30 business days from date of submission.