What We Offer

Medical Billing

Our skilled billing and coding experts function as your remote billing department. Tailored executive summaries aid practice decisions. Monthly status reports foster financial growth!”

“We cover the entire billing process, offering a convenient one-stop-shop solution for all your billing requirements. Our services include:

Obtain patient schedule from the provider's office.

Input patient's demographic details and proceed for further.

Confirm benefit coverage with primary and secondary payers.

Initiate prior authorization requests and secure treatment.

Easy & Hassle-Free Process

Simple Steps to Get Quality Healthcare Services

Eligibility Check

We verify each patient’s insurance eligibility, reducing AR days, streamlining processes, and preventing denials for seamless operations.

Charge Entry

Our meticulous charge entry process ensures swift reimbursements with a 98% first-time pass rate for error-free claim submissions.

Claim Scrubbing

Our advanced claim scrubbing guarantees clean, error-free claims for swift reimbursement and minimal denials/rejections, optimizing the process.

Electronic Submission

We systematically correct and resubmit held claims to promptly identify and resolve issues, ensuring timely claim processing.

Payment Posting

Our team posts ERAs and EOBs promptly, verifying payment accuracy, and follows up on denials/rejections for seamless operations.

Follow-up & Appeals

Upon denial, our A/R specialists at MATTBilling Solutions act swiftly, ensuring timely reimbursements and providing updates on appeals.

Patient Statements

We send clear, easy-to-read patient statements, enhancing understandability and prompt payment likelihood.

Patient Helpdesk

Optimize patient interactions, including scheduling, billing, and post-encounter communication, through our dependable patient helpdesk.

Credentialing

Documentation

Collection of documents and validate, Catalog and Store

Payer Submission

Submission of application within 48 to 72 hours.

Ensure Enrollment

Bi-Weekly follow-ups of applications and enrollment

Re-Credentialing

Periodic updates of the payer documents for re-credentialing

Provider Enrollment and Credentialing

Provider Enrollment and Credentialing: Ensuring qualified healthcare professionals join the network, delivering excellence in patient care with verified credentials.

Individual/Group Enrolment

We facilitate Individual Providers and Groups in obtaining CMS Plans (Medicare & Medicaid) and other commercial Plans (Aetna, Anthem, BCBS, CIGNA, Humana, TriCare, UnitedHealthcare, and many more!) enrollment.

Facilty/Lab/Agency Enrolment

We offer comprehensive assistance in enrolling Facilities, Laboratories, as well as Home Health and Adult Care Centers. Our expert team simplifies the process, ensuring a smooth and efficient enrollment experience.

CAQH Registration/Authorization

We offer dedicated support to New Providers, guiding them through the process of creating CAQH profiles. Additionally, our commitment extends to keeping the profiles of our existing providers consistently updated for seamless credentialing.

Individual/Group NPI Registration

We offer expert guidance to Providers and Groups in generating their National Provider Identifiers (NPIs), a crucial step that kickstarts their Credentialing/Contracting process. With our support, you can navigate this essential requirement seamlessly, paving the way for successful healthcare service provision.

Customized Reports

MATT Billing offers in-depth insights into payment, charges, and adjustments trends for each billing entry. Our data reports come in a user-friendly format, and you have the flexibility to customize them according to your preferences, providing you with comprehensive and personalized financial information.

Licensing/Compact Licensing

We specialize in assisting new Providers and Practices with obtaining licenses and certifications in multiple states. Our comprehensive services streamline the process, ensuring a hassle-free expansion of your practice across different regions.

What Is Medical Billing Process?

Step One

Pre-Certification & Insurance Charge Entry

Step Two

Patient Demographic Entry

Step Three

Charge Entry

Step Four

Claim Submission

Step Five

Payment Posting

Step Six

A/R Follow-Up

Step Seven

Denial Management

Step Eight

Reporting

What Is Medical Billing Process?

Healthcare Workflow Steps
Step One
Step One
Pre-Certification &
Insurance Charge Entry
Step Two
Step Two
Patient Demographic
Entry
Step Three
Step Three
Claim Submission
Step Four
Step Four
Payment Posting
Step Five
Step Five
A/R Follow-Up
Step Six
Step Six
Denial Management &
Reporting

Collect all the required data from physicians for filing the credentialing applications

Develop an appropriate credentialing strategy by selecting the top Payers to which the physician practice sends claims

Audit the application for accuracy & completeness then file the application

Submit the filled-up credentialing forms to the insurance carriers either chosen by the physicians or recommended by e-care

Follow-up with the Insurance carriers on a regular basis to track the status of the application

Obtain the Enrollment number from Insurance carriers and communicate to the Physicians

What Is Medical Billing Process?

1
First Step
2
Second Step
3
Third Step
4
Fourth Step
5
Fifth Step
6
Sixth Step

Physician Credentialing

Gather all essential physician information—licenses, certifications, education, experience, and insurance for accurate and timely credentialing with hospitals and insurance networks. Ensure all data is current and compliant with regulations.

Credentialing Strategy

Develop a targeted credentialing strategy by identifying and prioritizing the top Payers to which the physician practice most frequently submits claims. Focus on credentialing with these key insurers to maximize reimbursement opportunities and streamline the claims process.

Application Audit

Thoroughly review the credentialing application to ensure all information is accurate, complete, and properly documented. Once verified, promptly file the application with the appropriate payer or organization.

Form Submission

Submit the completed credentialing forms to the insurance carriers selected by the physicians or recommended by e-care, ensuring timely and accurate delivery to initiate the enrollment process.

Regular Follow-up

Consistently follow up with insurance carriers to monitor the status of credentialing applications, address any issues or additional requirements, and ensure timely processing and approval.

Enrollment Confirmation

Obtain the enrollment number from the insurance carriers once credentialing is approved and promptly communicate the details to the physicians for their records and billing purposes.