• Enrollment & credentialing

• Appointment scheduling and confirmation

• Advanced eligibility

• Demographics/charge entry

• Benefit verification

• Medical Coding (CPT, HCPCS and ICD-10)

• Claims scrubbing and rejection fixation

• Claims Transmission – (Electronic claims and tracking EDI reports)

• Payments Posting (ERA & EOB)

• Timely claim follow-ups

• Denial Management

• Patient statement handling

• Client reporting

Gem Billing Solution can effectively provide billing for the following specialties:

• Urgent Care

• Dental

• Internal medicine

• Family medicine

• Pediatric

• Cardiovascular

• Nephrology

• Urology

• Ophthalmology

• Oncology

• Pathology

• Surgery

• OB-GYN

• Tele-medicine

• Ambulatory

• OBAT

• Physical Therapy

• Pain Management

• Independent Laboratory

• Dermatology

• Psychology

• DME

• Chiropractic

• Acupuncturist

• Pharmacy

• Nursing Home

• 24-hours customer service for our clients

• Our commitment to HIPAA compliant medical billing practices lends us the imperial stamp of authenticity

• Meticulous and thorough work to ensure minimum denials and maximum collection

• Our solutions are easily flexible and scalable to diverse practice demands – individual practitioners, small and large clinics, hospitals, pharmacies, and independent laboratories

Most practices face issues in accumulated AR (Accounts Receivable). This is how your AR is handled at Gem Billing:

• Categorizing the Aging report based on time frame (according to insurance processing time and timely filing limits

• Pre-call analyzing the aged accounts and address accordingly

• Categorizing the aging based on claims status code

• Resolving old AR issues and posting payment successfully

Here's a list of reasons why we deserve your business:

• Precise Coding and Billing: We have a team of highly professional coders and billers who have enough experience to maximize your current monthly reimbursements. They undergo regular training to keep themselves updated regarding the healthcare industry’s changes

• Data Security: The security of our client’s data is very imperative for us. As we are HIPAA compliant, we have taken several measures at different levels to keep your data secure

• Point of Contact: All our clients are assigned a dedicated account managers who will answer all your queries in a timely fashion

• Flexible pricing packages: We have diverse pricing models for different practices based on their volume and requirements