Polymath Solutions operates as an integral extension of your healthcare practice. We view medical billing and collections as more than just tasks; they are vital processes that are carefully structured and interconnected. Our approach is driven by a seamless, cyclical workflow—where each step complements the next—ensuring maximum efficiency and the best possible financial outcomes for our clients.
Comprehensive Reporting and Workflow
Our robust reporting system provides complete transparency and control across every stage of the revenue cycle. Our end-to-end medical billing services include:
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Verification of Benefits (VOB)
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Document Management
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Patient Demographics Verification
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Medical Coding & Charge Entry
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Claims Transmission & Front-End Rejection Handling
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Payment Posting & Reconciliation
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Denial Management & AR Follow-Up
Verification of Benefits (VOB)
Our VOB specialists ensure all services are eligible for reimbursement by using customized forms, payer web portals, and direct calls to insurance providers. We gather precise coverage details, including patient responsibilities, to minimize denials and optimize collections. Real-time and retrospective scrubbing tools help us proactively identify eligibility issues—protecting your revenue from the start.
Patient Demographics Verification
Accurate demographic input is critical for clean claim submissions. At Polymath Solutions, our team applies Six Sigma methodologies to remove clerical errors and ensure that every patient detail—from insurance ID to contact information—is thoroughly verified and validated before submission.
Medical Coding & Charge Entry
Our AAPC-certified coders adhere strictly to the latest payer and government regulations, using ICD-10, CPT, and HCPCS codes across multiple specialties. Each charge is captured and coded accurately, laying the groundwork for maximum reimbursement and clean claims.
Claims Transmission & Front-End Rejection Handling
We prioritize first-pass claim resolution. Our system proactively detects errors before submission and incorporates insurer-specific updates to maintain high clean claim rates and minimize delays.
Payment Posting & Reconciliation
We handle both manual and electronic payment postings with high precision. Payments are reconciled against deposit slips and EOBs, and underpayments are flagged for immediate follow-up. Our EFT workflows help accelerate turnaround and keep your collections on track.
Denial Management & AR Follow-Up
Our seasoned Accounts Receivable analysts are relentless in their efforts to resolve denials and reduce aging A/R. We identify root causes, manage appeals, and pursue every claim professionally—recovering every dollar your practice deserves.
