About us Services Processes & Technology Solutions Quality & Compliance Infrastructure
Medical Billing
 
GURU CARE has made investments in technology, methodology and people and has gained expertise in all aspects of medical billing.
 
Our services
 
  • We provide back office solutions for Medical Billing Companies across all specialties in the United States.


  • Submission of claims with TAT of 24 to 48 hours as per client requirement and volume.

Our Team
 
Our Medical Billing Team comprise of experienced and dynamic professionals.
 
File Transfer/Exchange Team: Our Team downloads scanned documents into our network and transfers them in the Document Management System (DMS). The Document Management System helps in maintaining data security.
 
Medical Coding: We have experienced Medical Coders with a wide exposure and knowledge. We are specialized in Radiology, IVR, Cardiology, Surgery, Orthopedics and Gynecology Coding Specialties and can handle other specialties too.
 
Production Team: Our Production Team comprises of well-experienced claim processing personnel who are efficient in demographic entries, charge entries, payment posting, and reconciliation. They have thorough knowledge generating claims as per the requirements.
 
AR Team: Our expert Analysts identify all issues, which hinder claim processing and resolve them instantaneously. They review and act upon all pending claims.
 
The Analysts are given a set of guiding principle to be followed for acting on each denial.
 
A denial is assessed through following steps:
 
1) Reasons for denial.
 
  • Data Entry Error


  • Coding Error


  • Incorrect information by patient


  • Team didn't follow billing rules

2) Corrective action.
 
3) Implementation of corrective action to prevent recurrence
 
QA Team: We ensure excellent quality; our quality process leads to services that contribute value and lead to customer delight.
 
Medical Billing Process