Medical Billing and Collection Services
We at apex provide a complete range of Healthcare Billing to the Clients, generally healthcare providers, utilizing the abundant knowledge and vast experience of the entire work force under the supervision of an efficient Management Team.

• Flexibility in using medical billing software, we can use your current medical billing software or use ours.


• We process charges for all specialties with good appropriate state and specialty rules.


• We have the ability to put in place Effective Charge Control Measures including Hash-Total Matching or Software based Batch Control Medical billing can be done remotely, using the software of your choice.


• We can also help you with our web based medical billing software with EMR


• We provide daily, weekly and monthly reports.


• We provide full financial cycle solution from demographic information gathering, insurance authorization to AR follow


• Every staff that handles your claim will have a minimum of bachelors degree


• 24/7 customer support


• We are able to provide all services starting from the time your patient walks in the door. Our services include but not limited to: insurance verification, authorization, reauthorization, coding, billing, collection, follow-up, re-submissions, patient billing and so on. We are set up to do all factors in medical billing and collections required to maximize your reimbursement.

Being flexible in using software, we can use your current medical billing software. We can also, do remote billing (with the software of your choice). We are able to provide all services starting from the time your patient walks in the door. We will provide you with daily, weekly and monthly reports to be abreast with the status of your claims. We have 24-hour customer support for your convenience. At present, we are providing you with a free trial period.

Patient Registration & Charge Entry
Patient records are setup with complete demographic and insurance information. Charges are updated in respective patient accounts based on the charge sheets or super bills received from the Clients. We process charges for all specialties with good appropriate state and specialty rules. We have the ability to put in place Effective Charge Control Measures including Hash-Total Matching or Software based Batch Control We perform internal Quality Assurance at different Levels to provide the high quality output.

Payment Posting
Payments received from the insurance companies are posted into the system using copies of Insurance Checks and Explanation of Benefits scanned to us by the Clients.

Accounts Receivable & Denial Management
The overall revenue of a practice depends upon the specialty, total number of patients and the charges billed. These factors are analyzed and the Accounts Receivable is determined by our skilled AR Analysts and work orders are generated based on the reports. Even denials and rejections received from insurance carriers are analyzed thoroughly and prompt actions are taken. If these denials have to be addressed with the insurance carriers, they are forwarded to the AR Follow Up Team along with the Daily Work orders.

AR Follow Up - Insurance & Patient
Skilled professionals with excellent communication skills are recruited and trained extensively to be absorbed for the AR Follow Up Team. Our agents proactively follow up with the insurance carriers to address denials or general claims status using their intelligence, presence of mind & logical approach and update the AR Analyst Team with their findings. They successfully resolve numerous claims-based issues every day and take part in the process of extracting revenue for the Clients. In apex our aim is to improve the client’s cash flow by reducing days in A/R and improving profitability, by increasing collections ratio. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect un- paid and partially paid claims. Ability to work offline (using spreadsheets or reports) or directly from Client Software Reports. Our process mechanism helps in identifying category / payer combinations and works on resolving the mix that results in the best collections first. Using this approach, we are able to quickly achieve results and also apply early feedback across the entire category.

Claims Transmission
As major insurance carriers encourage the utilization of the electronic media for the transmission of claims, we have adapted to the requirement and have equipped us with the required technology. For instance, claims are ransmitted to Navicure, a Clearing House, directly from our office. We maintain a friendly relationship even with the clearing houses and Navicure is one good example.

Denial Analysis and re-processing
When a claim is rejected or only partially paid by the insurance company, we have our expert team do an analysis on the EOB to find out the possibility of erroneous refusal and re-submit the same as appropriate.


Secondary Carrier Billing
We automatically process Secondary Carrier claims upon receipt of the Primary Carrier EOB. Maintain accurate and up to date accounts receivable. Once we receive a copy of the EOB or verification of a patient payment, we immediately post the payment to the patients account.

Insurance Follow up and Appeal
We follow up via telephone (or letter if necessary) on all claims that have gone unpaid beyond 30 days. If an unpaid or underpaid claim requires an appeal we will process all of the required paperwork and handle all necessary follow up. We have attorneys with years of successful experience in the field of medical billing, which has resulted in millions of dollars of rejected claims being reprocessed and sanctioned.

Detailed Report
We provide reports detailing billing transactions on a weekly, bi-weekly, or monthly schedule. Apex is also capable of customization of these reports as per the client’s preference.

How do we do it?
Using our resources we are able to bring highly qualified individuals and the best talent in the business. Our service is very much solution oriented and our intent is to provide you with the solution that you require. We can create a system which can take care of any specific need that you may have in your billing cycle or we can provide a full cycle billing solution. Our solutions can be customized for any type of medical facility. Some of the medical establishments that we have the expertise to support are:

• Individual physicians


• Physician groups


• Multi specialty groups


• Clinics


• Free standing diagnostic facilities


• Long term care facilities


• Acute care facilities


• Hospitals

*medica lbilling companies in U.S


Our medical billing company support all services in the list below. We can provide all or just what you desire. We will customize your solution depending on your need. We work for you and with you