26 Collaborative

Medical Virtual Assistants Claims
Management

When operating a medical practice, claims management is a critical variable within the medical billing world. Utilizing a virtual assistant
can prove incredibly beneficial when managing claims efficiently. A Medical Virtual Assistant can review claims for accuracy, submit
claims to insurance companies, and track the status of claims to ensure timely payment. Medical Virtual Assistants can also follow up
with insurance companies to resolve any issues that arise, such as denials or rejected claims. In addition, the Medical Virtual Assistant
can identify trends in claims denials and work with healthcare providers to develop processes to prevent future denials. Medical Virtual
Assistants can help with some many different tasks, but generally they can reduce the risk of denied claims and ensure payments for
services are provided in a timely manner. Medical professionals and patients alike will benefit from Medical Virtual Assistants being
involved in the medical billing process.

What We Can Do For You

There are a few things that our Medical Virtual Assistants can handle when dealing with Claims
Management. Those tasks include the
following:

  • Coding of paper-based records may need to be accomplished
  • Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness
    and accuracy of the record.
  • Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and
    special therapeutic procedures.
  • Perform edit checks on data entered prior to transmittal and correct errors as indicated.
  • Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and
    regulations.
  • Examine all documents in the record for authorized signature and patient identification to ensure all documents contain
    sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately
    described.
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