Service Detail

Medical Billing Services

HMS USA provides an up to date and advance medical billing service which is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. HMS USA INC also makes it easy for their clients by translating a healthcare service into a billing claim.

Charge Entry:

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.

Timely Claim Submission:
Unfortunately, if you don't get your claims to the insurance company within the specified timely filing limit, they will be denied - there isn't anything you can do about it! Our Team keeps a track of data processed and always submit the details in time so that the clients does not have to keep on waiting due to late submission.

Payment Posting:
All payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The medical billing staff posts these payments immediately into the respective patient accounts, against that particular claim to reconcile them.

Reporting & Statements
Once the client has received the payment; it’s time to make the statement for the client. The statement is the bill for the procedure or procedures the client received.  

Insurance Collections:
Our professional agency has handled numerous insurance industry debt collection accounts with quality results. Our debt recovery team knows there is no one solution for all debt collection accounts. Having the knowledge and understanding of how issues and disputes in the insurance industry arise is what sets us apart from other debt collection agencies.

Claim Scrubbing:
Its primary purpose is to detect and eliminate errors in billing codes, reducing the number of claims to medical insurers that are denied or rejected. It is essentially a way of auditing claims before they are submitted to insurers.