Agimacare | All Services

Pre-Eligibility check

Gathering Patient Information: We collect essential patient information, including demographic details, insurance coverage details, and any relevant medical history..
Insurance Verification: Our team verifies the patient's insurance coverage by contacting the insurance provider directly. We confirm details such as coverage dates, policy limits, co-payments, deductibles, and any prior authorization requirements.
Benefits Verification: We thoroughly examine the patient's insurance benefits to determine coverage for specific healthcare services, procedures, and treatments.

At Agimacare, we understand the importance of accurate pre-eligibility verification in ensuring seamless billing processes and optimal patient care. Our dedicated team of professionals is committed to providing comprehensive pre-eligibility verification services tailored to meet the specific needs of your healthcare practice. What is Pre-Eligibility Verification? Pre-eligibility verification is the crucial initial step in the medical billing process. It involves confirming a patient's insurance coverage, benefits, and any applicable co-payments or deductibles before providing healthcare services. By verifying eligibility upfront, healthcare providers can minimize claim denials, reduce billing errors, and improve overall revenue cycle management.

Demographic & Charge Entry

Precision and Accuracy: Our expert team meticulously records patient demographics and charge details, ensuring data accuracy and minimizing errors in billing and patient records.
Timely Updates:We prioritize prompt entry of information to keep patient records and billing data up-to-date, facilitating smooth operations and billing processes.
Enhanced Efficiency: By outsourcing demographic and charge entry tasks to Agimacare, healthcare providers can streamline administrative processes, allowing them to focus on core patient care activities and optimizing practice efficiency.

Streamlined Demographic and Charge Entry Solutions: Agimacare offers comprehensive demographic and charge entry services tailored to meet the unique needs of healthcare practices. Our dedicated team ensures precision and accuracy in recording patient demographics and charge details, minimizing errors and enhancing data integrity. With a focus on efficiency and reliability, we prioritize prompt updates to keep patient records and billing information current, facilitating seamless operations and billing processes.

Medical Coding

Efficiency and Timeliness: We prioritize timely coding of claims, minimizing delays in the reimbursement process and improving cash flow for your practice. With our efficient coding processes, you can expect faster turnaround times and increased revenue.
Comprehensive Specialty Coding: Whether you specialize in primary care, surgery, cardiology, or any other medical specialty, our team has the expertise to accurately code a wide range of procedures and diagnoses. We stay updated on the latest coding guidelines and industry changes to ensure that your claims are always coded correctly.
Customized Solutions:At Agimacare, we understand that every practice is unique. That's why we offer customized coding solutions tailored to meet your specific needs and preferences. Whether you prefer on-site coding support or remote coding services, we have flexible options to accommodate your practice's requirements.

Unlock the full potential of your healthcare practice with Agimacare's professional medical coding services. Our team of certified coders is dedicated to maximizing your revenue through accurate and efficient coding practices. With years of experience and a deep understanding of industry standards, we ensure that your claims are coded correctly the first time, minimizing denials and optimizing reimbursement.

“Trust Agimacare to handle all your medical coding needs with accuracy, efficiency, and dedication.”

AR Follow Up

Successful Follow up on a claim is all about asking the right questions and finding the right solutions. Agimacare has a dedicated A/R Follow Up team who will be responsible for finding an updated status of the non-paid claims along with analyzing denied claims and partially paid claims. Also, if there are any coding-related issues on the claim, that claim is escalated to our coding team, and will make sure to update the status and do the corrections & resubmissions within 24 hours turnaround time

Our AR team is always in a good rapport with patients and Insurance representatives and takes necessary steps on their feedback and responses. This harmonious understanding between patients as well as with insurance adjusters makes the process more efficient and timely.

“Successful Follow up on a claim is all about asking the right questions and finding the right solutions.”

Analytical Reports

Analyzing Revenue reports of practice will ensure that the practice is functioning properly and meets the Profitability.

In the healthcare Industry, there is a wide range of reports which every practice will be looking forward which helps them to evaluate the performance of the practice. We provide weekly & monthly reports to our clients to evaluate how their practice is running. Weekly Charges billed and payments collected are updated every weekend and a Monthly report of all payments, charges, denials, RVU's, comparison of revenue with previous month & years, and various other analytical reports are shared with the client. This helps the provider office to understand how the practice is running and providers can concentrate more on patient care. .

“We provide weekly & monthly reports to our clients to evaluate how their practice is running.”

Denial Management

With the best core team assigned, we make sure all claims denials are not been skipped and all denials been corrected and resubmitted appropriately.

Claim denial may be a reason for inappropriate billing, coding, and incorrect eligibility & benefits verification. The first step to better claims denial management is identifying denials and the reasons behind them. About 90 percent of claim denials are preventable, but only through appropriate resolutions. To make the correct resolutions, we have knowledgeable team members who are well versed and up to date with CMS updates .

“Denial Management is the wall of a successfully running practice.”

Payment Posting

Any errors in between the postings or analyzing the correct amount will cause the monthly statement incorrect.

Our dedicated account specialists are well educated in accounting where they will be handling both Electronic and paper EOB's and will make sure all checks are tallied and reconciled with the provider's bank deposits. And every week, the team leaders will make sure to send an updated report of the Deposits from both insurance and patients. Once the reconciliation of patient and insurance payments are completed, the team will generate the patient statement and will send an update to the Doctor's office to collect the payments from the patients upfront. We also make sure to complete all ERA's and EOB's to be updated within the Current Month itself and the Monthly Deposits and applied payment details are also provided to the Doctor's office administration .

“Applying an insurance payment involves reconciling the payment received from the insurance payer and patient to each individual claim.”

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