Medical billing and coding specialists stay at the core

Our Support
Medifoline provides a comprehensive range of revenue cycle management solutions, serving hospitals and healthcare organizations nationwide. This diverse portfolio includes the following:
Credentialing and Networking

Provider affiliation with payers requires a better knowledge on knowing the right portals. Provider contracting plays a vital role in getting maximum re imbursements. It is important for the providers to get contracted with common payers to avoid lower volume in walk-ins and appointments.
Our credentialing team has experience in handling different provider portals and forms to set up EDI and ERA enrolments as well.
Revenue Cycle Management

Modules
Our simple and effective planning module to address accounts based on the criticality of the claims which includes the timely issues and network participations.

Training
We as a company believe and strive hard to keep up with current updates on various changes brought up by CMS and train our agents on the same. We have an effective training system to understand the client specific updates and train the team on the same.

Reporting
Our reports provide an insight on the account as to where and at what point the revenue has been froze. Monthly comparison reports will help you understand the present collection rate and payer rejection trends.

Bad Debt Conversion
Identifying the bad debt accounts and converting them to collections is a major task which we prioritize. The major setback which leads in bad debt adjustments are, getting the service authorized and network participation. Our experienced credentialing team will help you out in getting the network participation fixed and also increase revenue.

Quality Management
A very vital part for a billing company is to have a good quality team shadowing every step. Quality check protocol will be set for each client based on the complexity of the account to overlook and to manage the agent current level of knowledge and grip over the process. Providing day to day feedback will help in routing the agents view on the account which in turn helps the smooth flow of the process.
Coding
