At Medrina Technology Management, our Work Comp Billing & Collections services ensure efficient and accurate management of workers' compensation claims. We handle the entire billing process, from initial claim submission to persistent follow-up, ensuring that your practice receives timely and full reimbursements. Our expertise minimizes administrative burden and reduces delays, allowing you to focus on patient care.

Our approach includes:

• Injury/Claim/Eligibility Verification: Confirming patient eligibility and coverage details is crucial to prevent claim denials. We thoroughly verify insurance information and injury specifics, ensuring that each claim meets payer requirements from the outset. This proactive approach minimizes the risk of delays and rejections..

• Charge Posting and Bill Submission: Accurate entry and submission of charges are essential for timely payments. Our team meticulously posts charges and submits bills, adhering to strict accuracy standards. This precision ensures that claims are processed smoothly and efficiently.

• Correspondence Management: Handling all communication with insurance companies is vital to resolving issues promptly. We manage correspondence efficiently, addressing any inquiries or disputes that arise. Our proactive communication helps keep the billing process on track.

• Payment Posting: Recording payments accurately is fundamental to maintaining clear financial records. We ensure that all received payments are posted correctly, reflecting true account statuses. This accuracy aids in financial tracking and reporting.

• Second Bill Reviews: Handling detailed reviews of partially processed bills ensures full compensation. Our team re-examines bills to identify any discrepancies or underpayments, submitting necessary corrections to secure proper reimbursement.

• Bill Denial Appeals: We specialize in managing denied bills and appeals. We work with insurance companies to review bills based on various circumstances, ensuring that all claims are accurately assessed and fairly resolved. Our expertise in the appeals process helps in effectively overturning unjust denials and securing rightful payments for healthcare providers.

• Independent Bill Reviews: California's Independent Bill Review (IBR) process, managed by Maximus, serves as the final resort for disputes over low or partial payments on medical bills. We facilitate these third-party reviews to ensure impartial assessment and resolution of billing disputes, validating the accuracy and fairness of claims to aid in dispute resolution and payment recovery.

• A/R Follow-ups: Persistent follow-up on accounts receivable ensures timely collections. We continuously monitor outstanding accounts, initiating follow-ups to encourage prompt payments and reduce aged receivables.

Med-Legal Billing and Collections

Our AME QME (Med-Legal) Billing and Collections services cater to the unique demands of medical-legal cases. We provide meticulous billing management, ensuring accurate documentation and prompt collection of payments. Our experienced team navigates the complexities of these cases, reducing your administrative workload and enhancing cash flow.

Our services include:

• Detailed Documentation and Billing: Ensuring all necessary information is accurately recorded and billed.

• Efficient Claim Submission: Streamlining the process to submit claims promptly and accurately.

• Persistent Follow-up for Timely Payments: Continuously monitoring and following up on bills to ensure timely payments.

• Comprehensive Reporting and Analysis: Providing detailed insights into billing performance and areas for improvement.

WC, PI, Private/Medicare A/R Collections

Medrina Technology Management specializes in WC, PI, and Private/Medicare A/R Collections, offering tailored strategies to recover outstanding receivables. Our advanced techniques and persistent follow-up ensure efficient collection of unpaid claims, providing you with the financial stability needed to maintain quality patient care.

Key features include:

• Customized Collection Strategies: Developing unique approaches tailored to your specific needs.

• Advanced Recovery Techniques: Utilizing sophisticated methods to recover outstanding payments.

• Regular Follow-up on Unpaid Claims: Ensuring continuous efforts to collect overdue payments.

• Detailed Reporting on Collection Progress: Keeping you informed of the status and success of collection efforts.