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Decipher Health Records > Services > Medical Billing Services

Accurate, Comprehensive, and Compliant
Medical Billing Services

Managing medical billing can be overwhelming, with constant regulation changes, insurance requirements, and claim processes. Our professional medical billing services take that burden off your practice, ensuring faster reimbursements, fewer claim denials, and improved cash flow. By partnering with Decipher, you can focus more on delivering quality patient care while we handle the complex billing and coding process with accuracy and efficiency.
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Medical Billing Services from Decipher

Accurate medical billing is essential to the financial health of your medical practices. Millions of dollars are often lost each year due to errors that could have been avoided. Decipher provides professional, highly trained teams with expertise in medical billing to deliver high quality services with rapid turnaround times. We are committed to integrity, compliance and ensuring our clients receive the maximum justifiable returns for their healthcare services to optimize revenue and reduce losses.

Our Medical Billing Process

Accurate Medical Billing Services are critical to the financial health of any health care business. Mistakes can result in denied claims, delayed payments and significant financial losses. By ensuring accuracy with the first bill submissions, Decipher helps maximize justifiable reimbursements and ensure a strong financial position for our clients.

1. Patient Registration & Insurance Verification

  • Collecting demographic data, insurance details, and eligibility.
  • Real-time insurance verification to avoid claim denials.

2. Medical Coding

  • Accurate application of ICD-10, CPT, and HCPCS codes.
  • Ensuring coding compliance for diagnosis, procedures, and modifiers.

3. Charge Entry

  • Entering charges for services rendered.
  • Linking charges to correct patient and provider.

4. Claim Generation & Submission

  • Creating clean claims (error-free, payer-compliant).
  • Submitting claims electronically via clearinghouses or direct to payer.

5. Payment Posting

  • Posting EOBs (Explanation of Benefits) or ERAs (Electronic Remittance Advice).
  • Reconciling payments with billed charges.

6. Denial Management

  • Identifying denied/rejected claims.
  • Root cause analysis and resubmission or appeal.
  • Tracking denial trends to prevent recurrence.

7. Accounts Receivable (A/R) Management

  • Monitoring unpaid claims and balances.
  • Timely follow-ups with payers and patients.
  • Reducing Days in A/R.

8. Patient Billing & Collections

  • Generating clear, patient-friendly statements.
  • Offering multiple payment options (online, phone, in-office).
  • Setting up payment plans when necessary.

9. Compliance & Security

  • Adherence to HIPAA regulations for patient data.
  • Staying updated with payer and government compliance rules (CMS, OIG).
  • Data security and encryption protocols.

10. Reporting & Analytics

  • KPI tracking:
    • First-pass resolution rate (FPRR)
    • Clean claim rate
    • Denial rate
    • Days in A/R
  • Financial dashboards for providers to improve revenue cycle.

11. Customer & Provider Support

  • Support for physicians regarding documentation and coding queries.
  • Patient support for billing disputes and clarifications.

Let’s Improve Your Cash Flow Together

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Benefits of Decipher’s Medical Billing Services

productivity

Improved Revenue Cycle Management

Decipher’s accurate and efficient billing and coding services help healthcare providers optimize their revenue cycle management. By reducing errors and ensuring timely submissions, we help maximize reimbursements and minimize revenue losses.

compliance

Enhanced Compliance and Risk Management

Our experience and expertise ensures all coding and billing activities are compliant with applicable state and national regulatory laws and payer-specific requirements, effectively minimizing the risk of claim denials or legal issues, optimizing your receivables while enhancing your risk management.

cost saving

Cost-Effective Solutions

Decipher provides cost-effective billing services that comply with client specific workflow requirements, helping reduce administrative costs and inhouse administrative oversight efforts by ensuring high quality and accurate coding.

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Frequently Asked Questions About Medical Billing Services

What’s the difference between medical billing and medical coding?
Coding involves translating medical procedures and diagnoses into standardized codes. Billing uses those codes to create and submit insurance claims and patient bills.
They reduce administrative burden, improve claim accuracy, minimize denials, speed up reimbursements, and allow providers to focus more on patient care.
Yes, most medical billing services manage both insurance reimbursements and direct patient statements, ensuring the provider gets paid fully and promptly.
Denied claims are reviewed, corrected, and resubmitted. Experienced billing services proactively track and appeal claims to reduce revenue loss.
Decipher supports clients with a wide range of specialties (e.g., cardiology, dermatology, physical therapy).
Decipher follows HIPAA guidelines, uses encrypted software, and trains staff regularly to ensure protection of your PHI.

Outsourcing to Decipher reduces staffing costs, improves accuracy, and ensures faster reimbursement by leveraging our large, experienced pool of billing professionals.

Learn more about Decipher Medical Billing Services today

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