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Medical Billing

Patient Demographics Registration:

Axalin Healthcare makes registration simple and improves your service level by centralizing billing and demographics details at the first stage of the patient encounter. Referrals, authorizations and patient history – including billing history.

Eligibility Verification:

We have a highly trained staff that performs eligibility verification of benefits in order to avoid delays or errors in insurance coverage. Then the team verifies coverage on any primary or secondary payers by utilizing payer websites, automated voice response systems, or by making phone calls to payers. We also offer real-time pre-authorization services for walk-in patients.

Charge Posting:

We follow a well-structured charge entry process. The detailed steps followed through the process ensure that relevant checks are made at each processing stage. This enables us to manage a zero-error process and provide our services to you with speed and efficiency. Our Billing Resources team has substantial experience and understanding of the US healthcare industry, and offers expert skills in facilitating investigations and enabling quality decision-making.

Claim Submission:

After the audit by the quality assurance team, the claims are electronically or paper claims will be submitted to the insurance companies.

Payment Posting:

We have experienced and well trained billing professionals knowledgeable of different kind of EOB’s (Explanation Of Benefits) across ALL PAYERS posting MANUAL and ELECTRONIC PAYMENTS. Payments received from Patient’s and Insurance Companies are posted to the patient accounts in the client’s medical billing system. The posted payments are balanced against the bank deposit slips to ensure payments received are reconciled on a day to day basis.

Medical Coding

The CPC certified coding experts at Axalin we can help with physician education and provide the peace of mind of knowing your ICD-10 coding accurately represents your dictated record. By outsourcing your medical coding services to AXALIN Healthcare you can:

  • Optimize your revenue while reducing compliance risk
  • Increase cash flow by reducing lag days and improving claims submission
  • Reduce your administrative burden and expenses
  • AXALIN Healthcare Solutions’ medical coding services help healthcare providers optimize revenue while minimizing compliance risk. Our deep knowledge of revenue cycle best practices, sharp focus on specialties, and advanced workflow management system deliver expert, predictable results. Our comprehensive coding services are available as part of our full medical billing services offering or as a standalone service for organizations doing their own billing. Our closed-loop process is seamlessly integrated with your billing system to ensure the highest degree of data integrity.

    What We Offer:

  • Multi-Speciality Coding
  • Specialty-specific Coders dedicated to your account
  • AAPC, ACMCS, and AHIMA, ICD 10-certified coders
  • Denial Management

    We at Axalin Healthcare understand that a good denial management process is not simply about working denials, it is about systematically gathering the data required to eliminate denials.

    Our Denial management Process tracks every claim that has denied and can report this by payer, by CPT, by physician and by diagnosis. This information is presented in a manner that allows fast identification of trends. The data and analysis will allow many opportunities for process improvements and revenue enhancement for the practice.

    Our powerful Denial Management Solution can optimize your medical billing and speed up your cash flow. As Denial management is a subsection to Accounts Receivables of any medical facility, we religiously follow the below methodology of managing denials from payers. Our solution is focused around the three key fundamentals to effective denial management.

  • Prevention
  • Analysis
  • Tracking and Trend Management
  • Prevention:

    Prevention focuses on actions that can be taken upstream in the patient encounter to prevent denials from occurring in the first place. Prevention can be introduced anywhere in the patient encounter such as: Pre-admit/Pre-registration, Scheduling, Admit/Registration and Billing. Our denial management experts ensure that we track such trends and keep the Client informed periodically about improvements/process changes that can be made across functions.


    The process of analyzing and aggregating similar denials is strategic in denial management. The Denial management team at Axalin Healthcare understands that analysis and segregation is a forerunner to follow-up process and hence for us it is an fundamental step in denial management.

    Tracking and Trend Management:

    Besides keeping a track of the denial trend from payers our experts also actively monitor the payment patterns from various payers and set-up a mechanism to alert when a deviation from the normal trend is seen. This is important in understanding the causes of claim denials and enhancing long-term efficiency and drastically reducing lost revenue.

    Accounts Receivable

    Often, hospitals and physician practices get into situation of accumulated, unresolved Accounts Receivable due to lack of staff, ineffective policies, or ineffective process management. Such backlogs amount to millions of dollars and require expert A/R team members to recover the maximum amounts possible.

    Our team:

  • Performs a detailed analysis of the quality of claims and develops a focused strategy to work on each claim by grouping them by payer, by age of claim, or claims with timely filing issues.
  • Develops Policies. We work with the finance teams of our provider clients to set collection goals, and negotiation process with insurance companies.
  • Process for retrieving information. We work with the practice/facility to determine the process for retrieval of information related to the medical services rendered.
  • ouches each claims multiple times. We ensure diligent follow-up to make sure that as much A/R is recovered as possible.
  • Why should you outsource A/R management?

    Axalin Healthcare provides exceptional A/R Management services through diligent follow-up, denials and appeals management, patient-centric account resolution, and A/R analytics. Benefits include:

  • Focused approach to increase resolution
  • Ongoing improvement of adoption of payer websites for A/R status
  • Dashboard and metrics to improve collections.
  • Timely follow-up and submission of claims to avoid timely filing issue
  • Workflow to optimize employee utilization
  • Guaranteed performance metrics