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Faq’s

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Why People Choose Us?

Maxx Healthcare is a leading Medical Billing Service provider with over 18 years of experience and 100's of satisfied clients.

A medical biller converts healthcare facilities into medical claims and afterward sends them to insurance companies and payers like Medicare and Medicaid. Medical billers must then follow up on the claims to ensure providers obtain payment appropriately. Billing and coding are professions linked to these activities.
Medical coding includes knowledge of the method used to assign numerical codes to visits to physicians, hospital stays, and other procedures in health care. The basic tasks and the amount of time spent on each service would vary depending on the company. Generally, the services we provide at Maxx Healthcare include:
  • Establishing patient payment arrangements and billing accounts for the job
  • Obtaining references and pre-authorizations as the procedures allow
  • Confirming eligibility and compensation for medications, hospitalizations, and procedures
  • Checking plans for patient follow up policies
  • Updating cash spreadsheets and running collection reports
  • Checking medical bills for consistency and completeness while providing any details that are lacking
  • Preparation, analysis, and forwarding of claims using billing tools, including the processing of electronic and paper claims
  • Following up on outstanding claims within the normal period of the billing process
  • Checking for consistency and compliance with contract discount on all insurance payments
  • If required, calling insurance firms in case of any difference in payments
  • Inquiry and appeal into all claims denials
  • Answering all patient or telephone insurance questions relating to specific accounts
In addition to the above, we also allow employers to request certain services they might need that suit our skills and background experience or provide training for their staff.
Medical billing is a major part of the overall healthcare network. The network encompasses everything from medical insurance to patient care best practices, hospital facilities, and private practices. Health billing systems are multifaceted and can be split into 3 of the basic systems types.

Closed

A closed billing type is a system without allowance for transfers. This means that this program focuses on one single procedure in terms of medical payment systems. The best example of a closed billing system in your practice is to use EMRs or electronic medical records. The digital variants of old-school paper maps are simply EMRs. While paper is still used in modern practice today, it’s combined with other record forms. EMRs, as the system would mean, are closed. They will not require cooperation with other physicians and healthcare facilities such as labs or urgent care.

Open

An open system facilitates transfers between health care practitioners, services, facilities, and so on. EHRs, or electronic health records, are also an example of using an open medical billing system. Often, people in the medical field interchange EMR and EHR, but in fact, EHR-keeping is a highly collaborative record-keeping style that allows everyone involved to be privy to the patient’s healthcare.
Using an open framework means that medical billing programs such as AllMeds, ADVANCEDMD, GE Centricity, McKesson, and others have to be able to communicate easily and work together. Not all software allows an open system because they prefer to keep it closed and remain the only ones with access to records of their patients. Some practitioners and healthcare facilities also claim that being extra cautious with open systems is necessary to protect patients’ privacy because of HIPPA.

Isolated

An isolated system is one that is segregated entirely from health care services, physicians, and procedures. Personal Health Records (PHR) are used in individual medical billing schemes. Patients retain all of their healthcare records so that they can plan and handle it themselves. Such reports are different and do not replace EMRs or EHRs; they primarily help the patient monitor their health details.
Because PHRs cannot legally replace official health records, it’s not usual to use isolated medical billing systems. Often, if the patient uses appropriate software, their PHR can be used to fill out official reports of the medical practices. Again, this includes open communication between the software to ensure everything is transmitted properly.
In terms of medical billing systems, each one has its pros and cons. Although records aren’t the only component of medical billing systems, they play a significant role in deciding the type of system you want in your practice. After deciding the program and record-keeping style you want, you can step forward by selecting a new software or retaining the one you currently have.
We have spent years perfecting our service and process so we can deliver world-class service at all times. Our services include:

Patient Enrolment

Input patients into the billing services management scheme. After searching for any missing information, we collect all the demographic information correctly for medical billing.

Insurance Verification

For any practice or medical billing company, the key to success is to ensure the services they have provided are paid for. Our medical review team of experts will confirm eligibility for the claim and keep you aware of your patient visits.

Authorizations

We understand the value of insurance authorizations for services and operations as a committed medical billing company. We get the approvals done in advance and make sure that you get paid.

Medical Coding

Our certified coders know all specialties in medical coding. We are well versed in hospital/patient identification, emergency room e-code assessment, DRG / ICD-10-CM, CPT / ICD, HEDIS, and audits.

Medical Billing

Being one of the largest US medical billing firms, our mission has always been to provide the industry with a reliable service. We manage Medicare and Medicaid requests, Workers Compensation, No-Fault / Personal Injury, and other big company insurance plans.

Payment Posting

Our efficient medical billing organization is well versed in identifying and publishing insurance and patient payments. Our team is trained in making payment posts and ensuring that every line item is checked, certified, and posted to avoid loss of revenue.

Account Receivables Management

It’s necessary to appoint a dedicated team to handle A/R. The staff should be experienced in many specialties including insurance. Their duties are to administer A/R and negotiate claims while answering insurance and consumer queries.

Reporting

When working with a medical billing business, monitoring is essential to transparency for every customer. Maxx Healthcare offers information that is easy to access, and that can be tailored to your needs. We assign RCM managers to your account and have regular meetings vital for a healthy relationship to continue.

Depending on the medical plan, the state usually decides on eligibility. Data regarding eligibility are collected and handled by the State or its Fiscal Agent. In certain managed care waiver plans, an Enrollment Broker reviews the eligibility records, helping the patient pick a managed care plan to be enrolled in.

At Maxx Healthcare, we have the proprietary software we use to handle all your billing processes from beginning to end. You don’t need any additional software for submitting your electronic claims to us. With a simple push of a button, we’ll receive all your claims. We’ll help with installing and setting it up on your network. It doesn’t matter if you use a peer-to-peer style network or client-server type network.

There are different ways for you to transfer your data from your practice to our billing system. Customers can forward their documents to us through a secure VPN (virtual private network) link, remote desktop, etc. We have the versatility to work with you to create a charging capture system that matches your needs.
One of the most efficient ways is through a high-speed duplex scanner which we can assist your organization in obtaining and installing. This scanner can help to efficiently scan all of your documents. After the data reaches our server, we get to processing it. We begin the claim filing and processing ASAP to get your funds released on time.
We file your claims as soon as it has been reviewed by our auditors and does not contain any errors. Our team sends claims electronically as it’s the fastest and most efficient way to get results. We assure a 24 hours turn around time from when we receive the data. Our billers can still use manual claims submission, but there are major limitations to this method. Manual claims have a high error rate, poor productivity, and a long wait-time to get payment from providers. Billing electronically saves time, energy, and resources, while minimizing human or administrative errors in the billing process.
 
We submit all of our claims through the most efficient process – electronically, for quick processing and dispersal of funds. For companies that cannot receive claims electronically, we proceed to use HCFA forms to process their claims and submit them.
 
All your payments and funds remain in your control. Customers must provide timely written notification of all collections they receive, including, but not limited to, patient cash payments, patient checks, payer checks, and EFT (Electronic Fund Transfer) deposits to Maxx Healthcare. Our advice is to create as many payers as possible with the EFT (Electronic Fund Transfer) payments. The EFT payments will go directly into the client’s bank account, and our billing program will receive the corresponding ERA (Electronic Remittance Advice) through the clearinghouse.
Checks will come in the mail to the client for deposits from payers who don’t use EFT payments. If there is no corresponding ERA, the checks and the correct EOBs will need to be reviewed and given to Maxx Healthcare. We want to make as many claims electronically as possible, and we set up as many payers as possible to collect the payments through EFT.

We provide daily/weekly/monthly/annual/ad hoc reports based on customer requirements. We also generate aging, collection, payer mix, denial, adjustment, and other reports as the client wishes (at the end of the month). Our reports are well detailed and contain the progress of on-going claims and a complete account of all activities performed. You can also export our reports and customize them with several grids for better understanding.

Whether you’re in charge of general practice or specialty care, partnering with a reputable medical billing service provider will improve your cash flow and credibility. Therefore, with our wholesome service, you can keep up with regulatory compliances and be up-to-date. Here are some of the reasons why Maxx Healthcare stands out from other billing companies.

Transparent Service

From the onset, we make sure you understand all the services we will render and all the associated costs. Our charging process and discount opportunities are well laid out, so you know exactly what you’re paying for and not get blindsided. There are no hidden charges, and you’ll see that our service can fit your budget no matter how small it is.

Meet with Deadlines

Meeting deadlines is essential for any company to enjoy continuous support from the client and avoid unpleasant experiences. Deadlines for providers, insurers, and insured alike are critical. Maxx Healthcare always adheres to schedules and delivers results, regardless of the specialties or problems involved within the specified period.

Experience

We have been in the medical billing business for several years, giving our clients a satisfying experience. We have perfected the art of keeping customers happy and always strive to do better with each customer. We know how to efficiently communicate with insurance companies and independent payers to get reimbursements on time.

Responsive Services

We understand that speed and availability are the prime factors most healthcare providers are looking for. Revenue generation and satisfied patients are what keep healthcare providers running efficiently. Our team of experts is always available to respond to your inquiries so that you can provide your patients with the information they need.

HIPPA Compliant

We’re a fully certified HIPPA compliant company. It’s safer to partner with an ISO-certified provider consistent with the Health Insurance Portability and Transparency Act ( HIPAA) to safeguard your interest. This gives you peace of mind because our operations adhere to the HIPAA requirements, and all your confidential patient information is kept safe.

 

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