About our Eligibility Verification Services

Insurance eligibility verification is the first and one of the key steps in medical billing and coding process. Most of the medical claims are denied or delayed by the insurance companies mainly due to incorrect or inadequate coverage details provided by the patients during their visits or when the current coverage information is not updated by the hospital or administrative staff. This directly impacts the cash flow of the company by delaying the reimbursements.

Outsourcing this to a service provider having an experienced team of medical billing and coding experts, who are updated with all the regular changes in health plans and policies, will prevent delays and denials of insurance claims. At Aqkode Healthcare Solutions, we have been offering quick and efficient eligibility verification services to global clients for over a decade.

Document Checking

When we receive the documents from the healthcare organizations / insurance providers, we thoroughly analyze all the documents and verify it against the list of the necessary documents. This process helps to organize the documents as needed by the insurance company.

Insurance Verification

We verify insurance E&B and insurance coverage details of the patient with the primary and secondary payers either by contacting them directly or by checking their official online insurance portals a day before the scheduled patient encounter.

Patient Follow-up

If needed, we contact the patient for a follow-up to seek any missing or incorrect info and to get the required authorization as a part of our service procedure check. This helps keep track of all the info to cross reference before the final submission.

Final Submission

We provide the client with the final results, which include the information about patient’s eligibility and benefits along with other details, such as group ID, member ID, start and end dates of the insurance coverage, copay information, etc.

Medical Billing, Coding, and Auditing Services to help your practice focus on what matters the most.

Aqkode Healthcare Solutions has fine-tuned the entire Revenue Cycle Management process.

Comprehensive RCM

Our Revenue Cycle Management Services take care of everything from Patient Pre-Authorization / Pre-Registration, Eligibility Verification & Benefits Authorization, Medical Coding, Charge & Posting, Referrals, Payment Posting & Remittance Processing, and A.R. follow-ups.

Medical Billing

Medical Billing is the process of converting a patient visit to a health insurance claims to receive payment from a health insurance company for services rendered by a physician. A knowledgeable medical billing company can optimize revenue for the practice. Contact us today to learn more!

Claims Management

Aqkode Healthcare Solutions Claims Management handles everything from submitting patient info, scan and correct billing info, submit and file the claim, provide follow-ups, provide you with info about the claim, and process  denied claims and re-adjudicate them.

Accounts Receivable Follow-up

We manage Accounts Receivables Follow-up‘s and work to reduce the number of days to collect for services rendered and is a crucial piece of medical billing. Understanding payer processing times, payment policies and doc requirements are some of the ways how we decrease AR, increase revenue and reduce stress.

Benefits Authorization

The first step, collect patient and insurance info. Our Benefits Authorization process gets medical services authorized (pre-authorization or prior authorization) from the insurance payers. Without an authorization, the insurance payer is free to refuse the payment. Give us a call today to learn more!

Charge Entry

Aqkode Healthcare Solutions understand the importance of accurate charge entry services and also know how errors in this can affect the cash flow adversely. Our team ensures that we deliver error-free services, which help clients to get their payments in a timely manner.

Chart Auditing

Chart Auditing is key to ensure the proper levels are coded. If you are under coding, you are losing out on the additional reimbursement. If you are upcoding you’re at risk for audits by Insurances, they can take back the difference on future payments. See how we can help today!

Compliance

Compliance is the most important thing to get right in the medical billing industry. We ensure compliance for all of our clients by doing: Confidentiality Binding, Secure Data, HIPAA Compliance, Multi-level Quality Control, Resource Training and Scaling and Quick Client Process Adaptation.

Medical Credentialing

Medical Credentialing is not DYI project. The consequences of incorrect provider enrollment and credentialing are costly. The provider can be terminated from payer networks, lose hospital admitting privileges, and see dramatic reductions in new patients and revenue.

Eligibility Verification

Aqkode Healthcare Solutions understands that processing eligibility verification for specialist or internal medicine is necessary as it is directly linked to claim denials or payment delays of any healthcare services. Reduce potential hours lost and issues by calling us today!

Office Support

Need extra support at the front or back of your office? Never keep your patients guessing or waiting. Our front-end virtual office support service is to receive patients call to schedule patients, or transfer call to the right department. Save time and money and Aqkode today!

Medical Coding

Aqkode Healthcare Solutions provides IICD, CPT & HCPCS medical coding services to help you increase your reimbursements. Each patient chart is assigned a particular code that helps in the easy access of medical information for insurance purposes. Call now to learn more.

Referrals

A lot of business is based on referrals within clinics, but what happens when you lose track of where your medical referrals are coming from? We assist whenever a patient may be referred by one office to another, who may be a specialist in the treatment of the patient.

Payment Posting

Our payment posting service works after the adjudication of the claim from the payer, the claim will be either paid or denied. If the claim is processed towards payment from payer, then a payment will be issued to the provider (medical office) from the payer (insurance company).

Scheduling

The process of collecting patient information, verifying records and patient scheduling takes time away from your office staff responsibilities. Use your resources towards other important office tasks that have a direct impact on your business and revenue and call us today!

Why Choose Aqkode Healthcare Solutions?

Increased transparency with financial reports

Better Revenue Cycle Management

Reduce operational costs

Process claims faster and more effectively

Eliminate financial and billing errors

Pre-billing review and coding analysis

Generate more revenue with better financial models

Managing inquiries: patients, insurers, and regulatory authorities

AAPC Certified professional billers, coders and M.R.A., E/M chart auditors

Most practices can't match payer technology, sophistication and man-power. We can help.

Taking care of your patients is what you do best. Taking care of your billing is what we do the best.
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  • Address
  • United States - 1108 Bell Shoals Rd. Brandon, FL 33511
 
  • Hours
  • Mon thru Fri, 9:00AM – 5:00PM