blueBriX medical billing solutions

We handle your billing and RCM struggles so you can focus on patient care

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0%

Costs
reduced

0%

Reduce
in AR

0%

Client
satisfaction

0+

EHR
Software

0%

Clean claim
rate

0+

Medical
specialties

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Increased efficiency and
accuracy

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Enhanced revenue capture
and optimization

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Recover the denials and
rejections

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Improved patient satisfaction
and retention

Our comprehensive RCM services

Credentialing process

  • Provider credentialing
  • Group credentialing
  • Insurance credentialing
  • Provider enrollment assistance
  • Primary source verification
  • Provider profile maintenance

Medical coding  

  • ICD-10-CM, ICD-10-PCS , CPT, HCPCS coding
  • HCC coding
  • Risk adjustment HCC coding
  • Coding audits
  • ER and inpatient coding

Insurance verification  

  • Patient information collection
  • Contacting the insurance provider
  • Verification of benefits

Authorization verification

  • Obtaining prior authorization
  • Checking authorization validation period
  • Documentation and record keeping
  • Updating the medical billing system

Medical billing charge entry

  • Obtaining prior authorization
  • Checking authorization validation period
  • Documentation and record keeping
  • Updating the medical billing system

Medical billing claims submission

  • Medical claim data entry
  • Medical claim data validation
  • Clearing house rejection verification
  • Submission of scrubbed and clean medical claim to insurance payer

Payment posting

  • Manula EOBs posting to patient account
  • ERA’s posting
  • analysis of EOBs for Under-Payment or over-payment
  • Indexing of EOBs to patient account
  • Reconciliation to match payment posting to actual deposits

Denial management

  • Denial tracking and analysis
  • Appeal preparation and submission
  • Follow-up and escalation with payers
  • Root cause analysis and process improvement
  • Data analytics and reporting

Get your free revenue cycle assessment

We offers free revenue cycle assessments (RCAs) to help large and small practices to work smarter, not harder. Are you performing to your full potential?

We are specialized in

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Sleep Medicine

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Internal Medicine

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Chiropractic

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Gynecology

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Gyro

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SNF

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Physician Billing

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Ophthamology

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Inpatient Hospital

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ER

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Radiology

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Psychiatric & Behavioral

EHR software

We are experts in the following practice management systems.

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Get your free revenue cycle assessment