Medical Billing & Coding

DivineReturns Healthcare Solutions specializes in providing comprehensive medical billing services to healthcare providers across a wide range of specialties. We have earned a strong reputation by upholding the highest standards of service excellence, integrity, and professionalism. Our unwavering commitment to adhering to the stringent healthcare regulations ensures that we consistently deliver reliable and compliant solutions for our clients.

In line with the growing trend of telehealth services nationwide, Divine Returns is dedicated to supporting clinicians by ensuring timely payment for services rendered. We specialize in telehealth billing for Medicare, focusing on enhancing your financial independence, improving collections, and contributing to the long-term success of your practice.

As a leading billing service provider, we prioritize improving the provider experience, streamlining practice management, and reducing staff workload to consistently accelerate the healing process.

In the wake of the COVID-19 pandemic, we understand the immense pressure on physicians and specialty clinicians. Our goal is to relieve healthcare professionals of the complexities of revenue cycle management, allowing them to focus on delivering exceptional care while helping the nation navigate through these challenging times.

Is telemedicine a way to avert the crisis? Certainly!

Together, we can overcome any challenge presented by this ongoing pandemic. With timely and efficient reimbursements, we can elevate the role of telemedicine into a critical lifeline for healthcare. Many clinicians have turned to Zoom as their primary telehealth platform to connect with and treat patients. To fully leverage the opportunities available under CMS’ 2021 telehealth guidelines, don’t hesitate to reach out to us via call or email. We’re here to help you navigate and maximize the potential of these guidelines for your practice.

Telehealth Billing Services by Divine Returns

Our Healthcare Solutions helps save time and money

We understand that healthcare professionals often carry burdens that distract from what truly matters: providing exceptional care. That’s why we step in to handle the billing aspects, including patient statements and claim submissions, allowing you to dedicate your time and energy to what you do best—delivering high-quality care to your patients.

Patient Details are Recieved

Insurance Verification

Coding & Billing

Charging Entries

Payment Posting

Clearing House Rejection

Claim Transmission

Quality Check & Assurance

Denial Management

AR Recovery

Patient Statement

Collection

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BENEFITS OF MEDICAL BILLING SERVICES

Here is how Divinereturns Healthcare Solutions will assist you as a provider.

BETTER CASH FLOWS

Cash flow is the lifeblood of any organization, and healthcare providers are no exception. Our expert revenue cycle management services are designed to streamline the process, with skilled professionals who efficiently handle a wide range of medical claims from the very first submission. This ensures smoother operations and timely reimbursements, allowing providers to focus on patient care while we take care of the financials.

FAST SUBMISSION

Providers benefit from faster claim submissions with our services, thanks to our technologically advanced solutions from the start. We ensure that all details are filed seamlessly, maintaining a swift reimbursement process. This allows healthcare providers to focus on their practice without being hindered by financial constraints, ensuring smooth operations and enhanced efficiency.

MEDICAL BILLING SOLUTIONS

Our team of expert medical coding consultants addresses all the pressing concerns related to medical billing with precision and efficiency. You can count on timely submissions and proactive management of both insurance companies and patients, ensuring a smooth and reliable process.

ELIGIBILITY AND BENEFITS

Our streamlined workflow process enables us to send necessary reports in advance, keeping providers informed about the status of patients with expired insurance coverage. This proactive approach helps to avoid any potential delays, allowing clinicians to focus on improving collections and enhancing their practice's financial health.

INSURANCE COVERAGE

Our dedicated medical billing and coding teams closely monitor patient health plans and promptly report any insurance gaps they identify. For instance, if a patient's insurance does not cover a particular health condition or treatment, we immediately notify both the provider and the patient, ensuring transparency and preventing any billing issues down the line.

DENIAL MANAGEMENT

At DivineReturns, our team ensures timely reporting of any issues related to submissions, including errors and omissions. Our transparent approach keeps providers fully informed about the status of their claims, along with clear explanations for any delays. This open communication helps maintain trust and keeps the billing process smooth and efficient.

ADVANCED REPORTING

We provide detailed analysis reports tailored to the specific needs of physicians and specialists, helping them make informed business decisions. Each stage of the process is broken down according to the requirements of clinicians from various specialties, ensuring that our solutions are customized and relevant to their unique practices.

REDUCED COSTS

By outsourcing your medical billing to us, you are poised to significantly reduce costs while boosting efficiency. Our team’s combination of skill, experience, and resilience enables us to streamline your revenue cycle and accelerate your financial growth. Together, we can manage expenses effectively and scale your practice to new heights.

EMPATHY AND CONVICTION

While COVID-19 has certainly disrupted the natural flow of life, it has not deterred us from providing exceptional service to our clients. We continue to implement strict safety protocols to ensure the well-being of our team, while consistently delivering successful collections. Our commitment remains unwavering as we navigate these challenging times, always working towards the financial stability of your practice.

GET READY TO EXPEDITE YOUR COLLECTION RATE!

Our Strategy for Medical Billing and Coding

At DivineReturns, we pride ourselves on hiring only the best medical coding and billing professionals to meet the diverse needs of our valued clients. We invite you to experience the difference that our dedicated team can make. Our drive to surpass the competition is relentless, and we never stop pushing for more, nor do we give up easily.

We are proud to serve the entire spectrum of the US healthcare industry, including mental health professionals and therapists. As specialists in behavioral health billing, we handle routine claim submissions, accounts receivable management, follow-ups, denials, and appeals, ensuring that your practice runs smoothly and efficiently.

Reach out to us today with your inquiry, and one of our industry experts will contact you promptly via email or phone.

Reimbursement-friendly Medical Billing Services for Small Practices

What do small practices get out of outsourced billing services?

At DivineReturns, we focus on three key areas to ensure your practice thrives: increasing your collection rate, minimizing the denial rate, and preventing accounts receivable from piling up. By mastering these stages of the billing process, we streamline your claim submissions, resulting in faster reimbursements and improved cash flow.

We highly recommend outsourcing medical billing to small practices, as it allows you to focus on what you do best—providing exceptional care to your patients. When selecting a reliable medical claims billing service, consider their years of experience, client reviews, and the quality of their operational teams.

A study published in JAMA Network in February 2018 revealed that “administrative costs associated with billing and insurance-related activities are estimated to be up to 25.2% for emergency department visits.” By outsourcing, you can reduce these costs and enhance your practice’s financial health.

Preferences of Patients

As the digital landscape continues to evolve, more patients are opting for digital methods to pay their healthcare bills. Whether through a mobile app or a dedicated online payment portal, this shift toward digital payments is expected to grow in the coming years. In fact, studies have shown that 80% of patients are interested in paying their healthcare bills digitally.

We believe this trend is here to stay, and paper-based billing systems will soon be a thing of the past. The sooner healthcare providers embrace the power of digital solutions, the faster they can streamline their billing process and improve patient satisfaction.

Additionally, a 2016 study found that 61% of patients with medical bills under $500 didn’t pay their full balance, a 19% increase from 2014. This rising trend of unpaid balances can negatively impact practitioners’ cash flow. Partnering with us ensures you can efficiently address delayed payments and guarantee full reimbursement, protecting your financial health in the long term.

Patient percentage who did not pay their $500 full balance

2009 89%
2014 77%
2016 61%
2020 45%

Love Expressed From Our Happy CLients

"For the last 4 years, Divine Returns has been an integral part of growing our counseling and Intensive outpatient programs. My team and I appreciate their commitment to exceptional customer support, credentialing, and billing services."

Dr. Ingrid Arnold DO | Mesquite, Texas

I want to thank you for your professional help during the past two years with our accounts receivable. I have absolutely nothing but appreciation for your company in helping us out with the jam we were in when our office manager suddenly quit. Since that time we have enjoyed an absolutely non-problematic relationship. Our experience with claims injury, handling insurance rejections, posting our payments, the account receivable process, patient statements, and the excellent service provided to my patients are greatly appreciated. I also sincerely appreciate all the help that you have given me and my staff and I wish you the best of luck in future endeavors.

Dr. Larry C. Watson MD | Houston, Texas

Divinereturns Medical Management Services holds your company in the highest regard as far as customer service & expertise goes; it is exceptional & very knowledgeable in all aspects of the medical claims management industry. Our decision to contract your services had as much to do with your quick, accurate & competent response to our question, as it did with the service itself. We would never hesitate in doing business with you!

Dr. Glorisa Harvilla Matawan, New Jersey

My Client Servicing & Operations Manager from Divine Returns is always available either via email or by phone. He runs a tight ship, and figures out problems before they occur. Our weekly conference call is a valuable tool, and I am still getting used to having such thorough communications. Money is flowing into my practice regularly now, with daily insurance submission. Any medical practice that wants an efficient medical billing company should call these people.

Dr. Michael Goldstein OD | Rocky Hill, Connecticut

Frequently Asked Questions (FAQs)

The medical billing cycle is a process that starts with patient appointment, entry, eligibility check, coding, charge entry, and moves on to claim submission, payment posting, AR review, and denial management.

RCM (Revenue Cycle Management) is a system to get through with the financial transactions between patients, healthcare providers, and payers. Clinical administration manages the revenue cycle starting from patient registration, payment posting, and the exchange of information between patients’ statements and payment systems.

AR (Accounts Receivable) is a term refers to tracking claims, chasing revenue collection, and compiling a record of cash flow. AR is vital for health practices to follow-up the claims submitted and with the insurance companies, for revenue recovery optimization.

EMR (Electronic Medical Record) and EHR (Electronic Healthcare Records) is an electronic healthcare software that carries the record of patients’ complete health-related information. EHR functions as a digital system to handle patient visits, storing health records, and connects with ePrescribe and laboratories. EHRs are further capable of integrating patient portals and billing systems.

Medical billing services in the US return peaceful solutions for most practices. It is where outsourcing a third-party takes the burden of creating, filing, and managing claims away from them. The in-house solution is expensive and usually drains the available staff of hours. Hence, the outsourced solution seems highly likely to work in favor of providers.

The percentage that you will be charged is usually governed by the variable e.g. the types of medical procedures, the tax rate in your state, and the volume of patients. On average it’s 7.9% of the whole accumulated medical revenue. Some companies offer no setup fee but some charge from $250 to one thousand.

  • Registration of patient
  • Eligibility check
  • Patient encounter
  • Prepare medical claims
  • Medical coding compliance
  • Claim scrubbing
  • Claim submission
  • Payer Adjudication
  • Patient’s statements
  • Follow-ups
  • Payment posting
  • Reporting

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