Solved Med Care: Your dedicated financial success partner. We lift the billing burden from Hempstead, Hauppauge, and Selden providers, ensuring timely payments and minimizing rejections. Trusted for fast approvals and strong relationships, we maximize revenue and manage operations so you can focus on patients. Achieve financial peace of mind.
Solved Medcare delivers affordable, dependable billing services crafted for smaller practices. We handle the details—insurance claims, coding accuracy, and reimbursement tracking—so you can spend more time where it counts: with your patients.
In the U.S., healthcare is heavily regulated by government bodies, especially when it comes to billing and coding. Healthcare providers must navigate complex rules when filing medical claims to ensure proper reimbursement from insurance companies.
The process of confirming a patient’s insurance coverage, benefits, and authorization requirements before services are rendered.
Ensures that the patient’s insurance is active, the services are covered, and any pre-authorizations are obtained.
Helps prevent claim denials due to ineligibility or lack of coverage.
Medical Claims Submission
Involves accurate coding (CPT, ICD-10, HCPCS) and compliance with payer-specific rules.
Claims can be submitted electronically (EDI) or via paper, though electronic submission is faster and more efficient.
The process of recording payments received from insurance companies and patients.
Involves reconciling Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA) with billed amounts.
Ensures accurate posting of payments, adjustments (write-offs), and patient responsibility (copays, deductibles, coinsurance).
The process of identifying, analyzing, and resolving denied or rejected claims.
Involves investigating denial reasons (e.g., coding errors, missing information, non-covered services) and resubmitting corrected claims.
Helps maximize revenue by reducing preventable denials through process improvements.
The process of tracking unpaid claims and pursuing outstanding payments.
Involves aging report analysis, insurance follow-ups, and patient billing for unresolved balances.
Ensures timely collections and reduces accounts receivable days (AR days), improving cash flow.
Getting claims paid on time and avoiding denials can be a major challenge for healthcare providers. Insurance companies often delay processing and reject claims for various reasons, making reimbursement even more complex. By partnering with an experienced medical billing company, you eliminate the stress of payment delays and denials.
At SMC, we specialize in tailored billing solutions that help providers get paid up to 2x faster. Our team of experts is well-versed in the nuances of medical coding and compliance, ensuring accurate and prompt claim submission. Using advanced technology, we deliver real-time insights to minimize denials and accelerate reimbursements.
Our meticulous billing processes guarantee accurate claim submissions, minimizing delays and maximizing your reimbursements.
Our experts proactively track down every outstanding dollar with dedicated A/R follow-up services.
Simplify credentialing with our expert services—minimize delays, maintain compliance, and optimize your practice’s productivity.
Our experts assist with the complexities of claim submission to maximize reimbursements and minimize denials
Our team aids with Quality Payment Program and MIPS reporting to support practices in value-based reimbursement
We help you acquire the best talent that has got the right set of skills and aligns with your practice-specific requirements
Increase patients’ satisfaction with easy-to-understand bills, automated payment reminders, and patient portal solutions
Streamline mental health credentialing with iRCM. Let our experts handle TMS and Spravato complexities for your practice
Healthcare practices often struggle with managing their medical billing and coding processes efficiently
Experience simplified front office operations with a streamlined intake process with our front office management services
Streamlining dental credentialing to save you time, ensure compliance, and boost practice efficiency
Efficient and accurate billing solutions tailored for primary care practices to maximize revenue and streamline operations
Don’t just take our word for it – see what our happy clients are saying about our personalized medical billing services