Services by Inspired Billing and Credentialing Services

 Our billing team promptly files the claims to contract payers for payment, confirms there is sufficient supporting documentation, corrects any claim denials, and ensures fast and efficient payment for services provided. Our team will also manage and diligently assess your accounts receivable aging report to optimize payment and decrease outstanding denied claims.

Our team of experienced billers and coders ensure that your claims are accurate and complete, reducing the chances of denials and rejections. This leads to higher revenue and better cash flow.

We take data privacy and security very seriously. Our medical billing services are HIPAA compliant and we ensure that your patient data is always protected.

Most payers require that a business be enrolled as an entity prior to enrolling staffed providers. Some of these contracts have the flexibility to negotiate the allowable amount, which increases the reimbursement rate for the services provided. Our knowledgeable team has several years of experience in working with insurance companies to create the optimal contract for your company.  

Whether a newly licensed provider, or a fully licensed and experienced provider, our credentialing team will ensure all providers are enrolled with all applicable insurance companies. Our experience with nearly all commercial insurance companies, as well as Medicaid and Medicare, provides the benefit of being reimbursed at maximum capacity (as dictated by licensure). 

Each payer has their own allowable rate for each CPT code that a provider performs. Our team manages and monitors the fee schedules that will be created specific to your business based on your payers’ approved contracts. With this, we will be able to help you determine what your monthly revenue predictions will be based on trends and patient/payer mix. 

As an enrolled business and practicing provider, you are required to maintain the accuracy of your CAQH, PECOS/NPPES, fee schedules, and claim denials related to credentialing. We ensure that we will provide practice management, along with helping research and follow up on any claim denials that are related to credentialing. We also help educate providers on accurate billing policies and procedures related to the services that you provide with the payers that you are enrolled with.  

Over the years, we have found that the more that we educate our future patients, the better we are at making sure we collect the fees they are responsible for. We have also learned that the more we educate people about what their benefits allow, potential billing issues, and payment expectations, we enable them to make more financially secure decisions regarding whether or not to begin services.  

Need help finding patients for your growing practice? We have several ways that we can help draw patients to your business. We can also help you track any referrals, new patients, and discharges to provide comprehensive marketing statistics, which allow you to make the best decisions to determine the next step in your business choices.

 At the end of each month, your company will receive reports on how you and your providers performed in that time span. This report will include all charges billed for the month, all payments that were applied to each date of services, and any outstanding balances. Inspired will also be able to track trends and help provide you with estimates for your next months revenue. As a company, it is vital to your success to understand if you are seeing enough patients to meet your revenue goals. 

Our team of experienced billers and coders ensure that your claims are accurate and complete, reducing the chances of denials. We are focused on making sure that your practice runs as smooth as possible. We will manage all authorization requests. We also offer to verify all new and current patients’ insurance eligibility.  Therefore, we are on top of any insurance issues that may arise prior to you seeing the patient. This also allows us to work with the patients to make sure all needed information is provided to ensure billing is accurate and successful, which prevents claim rejections. This leads to higher revenue and better cash flow.

As we all know, from time to time, insurance companies request medical records to justify medical necessity of services provided. Rest assured, we will handle all medical record requests from insurances with which your practice is enrolled. We also know that insurances can do post payment audits and we want this to be a seamless process. After each audit, we take any education received and seamlessly guide your practice into compliance.