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XPERIOR BILLING LLC,  

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for healthcare services rendered by a healthcare provider. It involves the use of medical codes to represent medical diagnoses and procedures, as well as the submission of claims to insurance companies and the management of payment collections. The goal of medical billing is to ensure that healthcare providers receive accurate and timely payment for their services while complying with insurance regulations and guidelines. Medical billing is an essential part of the healthcare industry and helps to ensure that patients receive the care they need while providers are compensated for their work. 

Here is a general outline of medical billing workflow:

• Patient registration: This is the process of collecting patient information such as name, address, date of birth, insurance details, and medical history. This information is used to verify patient eligibility for insurance coverage.
• Charge capture: This is the process of documenting the healthcare services provided to the patient, including diagnosis, treatment, and procedures. The healthcare provider records the details of each service provided and assigns medical codes to each service.
• Claim submission: After the healthcare provider has documented the services provided and assigned the appropriate codes, a claim is created and submitted to the insurance company. The claim includes patient and provider information, details of the services provided, and the associated medical codes.
• Payment posting: Once the insurance company receives the claim, they will review it and determine the amount they will pay the healthcare provider. The payment is then posted to the provider's account, and any remaining balance is the responsibility of the patient.
• Denial management: If a claim is denied by the insurance company, the healthcare provider must investigate the reason for the denial and correct any errors or resubmit the claim with additional documentation if necessary.

 XPERIOR BILLING LLC, 

XPERIOR BILLING, LLC was founded in 2015 as a multi-specialty billing service.  With over 30 years of professional billing and coding experience, our new clients routinely see double-digit increases in reimbursements, accelerated cash flow, and reductions in accounts receivable.  Our existing clients have stayed for years due to our high collection rates, low denial rates, and speedy cash flow.

Today it’s challenging to bill and collect every dollar that the practice is entitled to at a reasonable price.  Billing is no longer a matter of just filling in a claim form and getting reimbursed.  Over the years the collection process has become so highly complex and time consuming that billing has turned into a specialty unto itself.

XPERIOR BILLING, LLC staff is made up of certified coders (CPC’s) and certified specialty coders to ensure all allowable fees are billed.  We work closely with our clients to advise and educate them on proper documentation guidelines.