Inspiring a Better Healthcare System
We partner with our customers to reduce costs, create efficiencies, and effectively manage complex workflows. Together, we are accelerating the journey toward improved lives and healthier communities.
Medical Billing Services
Being a medical billing specialist company, NYX focuses on providing fully integrated medical billing solutions for our customers. Rely on our services for regular follow-up with insurance companies and be assured of an increased rate of reimbursements.
NYX’s approach to medical billing
Claims transmission and insurance verification
The medical billing process starts with you sending us the patient list, demographic details of the patients and copies of their insurance card. The data can be transferred to NYX by FTP, fax or email. Our medical billing experts verify the insurance eligibility and benefits before getting a pre-certification for procedures and diagnostic tests. Once this stage is cleared, the pre-certification is obtained
Patient information entry
Following the verification process, for every new patient, demographic details, patient history, information pertaining to the diagnosis and insurance related data are entered. For followup patients, previously stored information is validated.
Each diagnostic note needs to be coded with CPT and ICD-10 codes to enter into the medical billing system. Our experienced coders take care of the coding process with high levels of accuracy and diligence. In case your bills are pre-coded, we validate them to prevent up-coding/down-coding and integrate into the billing process.
Fee charges entry
The medical fee charges of your organization and CPT and ICD-10 codes are entered into the practice management system at this stage. These charges are the basis on which the claims are filed.
At NYX, we process both electronic and manual claims submissions to insurance companies. The process is monitored for quality and in certain cases sampling up to 100% is taken up for auditing to ensure that the process is error-free and to allow minimum rejection of claims. In case of rejections from the clearing house, rectification and resubmission is done.
Posting of payments
Scanned copies of the Explanation of Benefits (EOB) and checks are posted into the system by our team. The team reconciles the entries on a daily basis.
Extensive follow ups are made to collect the outstanding accounts receivables (AR). Our regular telephonic and email follow-ups make sure that the AR collection time is reduced and there is an increase in revenue.
Claims denial management
We provide you with effective claims denial management that will help increase your revenue. Denials and partial payments are assessed by our expert team and an extensive follow-up process follows. Patients, providers and other parties are contacted to deal with the denials and secondary paper claims are processed.