Successful Medical Billing Services
An effective biller pays appropriate attention to all stages of the revenue cycle. At Valletta, our unique, team-based approach is carefully managed and built upon a foundation of consistency, redundancy, and transparency. Each claim processed is reviewed by 3-6 members of operational staff, which greatly reduces the chance of error. Plus, our AR team meticulously combs through data to find ways to improve efficiency. To learn more about our proven medical billing services and the providers and specialties we serve, select an option below:
The Valletta Group’s medical billing services span the entire billing cycle. We strive to take the burden off of providers by taking on all of the following tasks. To learn more, click on an element below or scroll down.
Medical Billing Services
INSURANCE CREDENTIALING/PAYER ENROLLMENT
Without proper and up to date Insurance Credentialing/Payer Enrollment, all other aspects of the medical billing cycle are irrelevant. As the application processes vary by payer and are frequently burdensome to a practice’s staff, The Valletta Group will manage initial and ongoing credentialing with the appropriate payers in the practice region.
CHARGE ENTRY
The Valletta Group provides complete-cycle medical billing services. You provide demographic information on each patient and charge information for each visit. We do the rest. For hospital-based physicians, demographics are accessed via the respective hospital web portal. Our charge-entry team enters charges on a daily basis, with checks in place to ensure that each patient encounter is captured for submission to the appropriate payer. We offer and encourage the use of a verification process for this purpose.
CLAIM SUBMISSION
Clean information in, clean information out. Why wait 2-3 weeks for a denial on a claim that could have been anticipated. With a combination of human expertise and industry standard software, The Valletta Group has processes in place to 1) ensure acceptance of the claim by the payer, and 2) make appropriate corrections to claims that would otherwise be denied.
PAYMENT POSTING
The Valletta Group accesses payment information in one of two ways:
- Electronic Remittance Advice files (ERA’s), which are posted automatically to the patient’s financial account; and
- Paper Remittance Notices, which are forwarded to The Valletta Group upon receipt by the practice.
The ERA’s and Remittance Notices are heavily scrutinized by our Payment Posting Team and our software to ensure appropriate payment. If there is a remaining balance on a claim or a claim is denied, it becomes the responsibility of our expert Accounts Receivable team.
ACCOUNTS RECEIVABLE
The Valletta Group utilizes processes on the front end of the medical billing cycle to limit the number of claims that are denied or underpaid. However, another level of rigorous follow-up is in place if denials do occur. Our experienced Accounts Receivable specialists are trained to identify the appropriate response to the varied denials that arise. They are also trained to recognize patterns and communicate with the other Valletta team members, as well as practice staff, to prevent repeat denials in the future. Once it is determined that insurance has appropriately paid its allowed amount, there may be a balance due to the Patient.
PATIENT COLLECTIONS
In recent years, healthcare costs have shifted. With an expanded selection of medical plans, patients have taken on a greater percentage of costs. Now, more than ever, medical billers must take action to ensure timely patient payments. The Valletta Group understands this need and has procedures in place to assist. With automated billing reminders, Valletta periodically calls patients with outstanding charges and reminds them to pay. For patients who prefer a more modern billing system, Valletta also offers an online payment portal system to participating clients. This system makes it easy for patients to view and pay their bills securely online. Furthermore, patients are given the option to set up recurring automatic payments, which have proven effective at initiating complete patient payments.
PATIENT STATEMENTS
Having confirmed that all other payers have appropriately reimbursed the practice for a submitted claim, a remaining balance may be owed by the patient. In these instances, a statement will be generated with a detailed and patient-friendly explanation of the balance due. Should the patient have questions concerning his/her statement, he/she may contact our Patient Help Line.
PATIENT INQUIRIES
The Valletta Group has dedicated representatives on our toll-free Patient Help Line to respond to any question a patient may have about his/her statement. Each statement explicitly informs the patient to contact Valletta with any questions and concerns; thus, relieving practice staff of the burden. We offer and encourage the use of a credit card vendor so that we can take payments over the phone.
REPORTING
The Valletta Group strives to provide ample data in a clear concise format, so that each practice can make informed decisions concerning its growth and practice patterns. Toward that end, we offer:
- Transactions (charges, payments, submissions) are logged daily and made available to the physician.
- Depending on the preference of the physician, monthly reports may include, but are not limited to the following:
- Charges, Payments, Adjustments analyses
- Financial Class report for charges and payments
- Payer mix analysis
- AR Aging by payer
- Collections report
- Procedure code analysis
Valletta serves individual physicians, physician groups, and a variety of healthcare organizations.
Private Practices
Valletta understands how time-consuming it is to own a practice. On top of caring for patients, providers have to deal with the logistics of running a business and managing the revenue cycle. The Valletta Group aims to lessen the load by offering services for the complete medical billing cycle, including enrollment, denied claims, and much more. Valletta meets the specific needs of practices by working with the software platforms they prefer. As an industry guide, Valletta allows its clients to grow their practices while focusing on their patients.
Hospitalists
The Valletta Group offers proven, reliable medical billing services tailored to the needs of hospitalists. Built from years of experience, these specialized services feature meticulous claims follow-up, extensive coding resources, a tireless AR team, customizable data reporting, and more. Plus, Valletta offers flexible methods for charge-capture, which helps ensure seamless transitions for new clients. With a refined, full-service system, managed by true experts, Valletta succeeds in offering best-practice medical billing services to its hospitalist clients.
Hospital-Employed Groups
In addition to serving physician-owned practices, Valletta serves many types of hospital-employed organizations, from hospital-employed physicians and hospital-owned physician practices, to Management Services Organizations (MSO’s), Physician Staffing Organizations (PSO’s), Healthcare Corporations, and more. The Valletta Group was founded with the goal of serving the true needs of physicians, which makes it a smart choice for any hospital-employed group.
Urgent Care Centers
Urgent Care Centers (UCC’s) operate under rather unique circumstances and in turn, require expert billing and guidance. With widely varying regulations and a frequently evolving business model, UCC’s must be attentive and forward-thinking. Furthermore, a regular influx of one-time patients requires UCC’s to have a well-trained front office and a vigilant back-office, in order to ensure steady payments and reimbursement. Valletta is the valuable partner UCC’s demand.
Other Healthcare Providers
Valletta doesn’t only provide medical billing services to hospitalists and physician practices. In fact, many of our clients offer a more specialized brand of services. Such services can take a wide variety of forms, but some common examples include long-term care, diagnostic services, laboratory testing, therapeutic care, rehabilitative care, and durable medical equipment. Valletta has extensive experience with many of these vital healthcare services.
Our clients operate in a wide range of specialties.
addiction medicine, cardiology, endocrinology, gastroenterology, general surgery, geriatrics, gynecology, home health, hospital medicine, infectious disease, internal medicine, nephrology, obstetrics, oncology, orthopaedics, pain management, pathology, pediatrics, physical therapy, primary care, psychiatry, urgent care, urology, and more
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Cardiology -
General Surgery -
Orthopedics -
Hospital Medicine -
Oncology -
And many more
