"In-time delivery of quality healthcare services with maximum accuracy and security."

Billing and Coding (Charge Capture)

Having standard based architecture, we offer expert and independent medical billing audits to clients to ensure charges match actual care and services delivered. Our vast experience analyzing public and private health care claims can assist you in establishing and maintaining audit targets.

Consistent and accurate documentation of rendered services is important for billing purposes as well as rate setting, utilization management, and quality measurement. 

SPSOFT's credentialed health information and coding specialists help you understand and comply with reimbursement rules and requirements. Services that support our clients' efforts to stay current and compliant in a dynamic environment include: Regular reviews of billing and supporting medical record documentation help to assess compliance and identify potential problems.

Complete and correct information is the most important requirement in the entire billing process. Our process of billing is briefly discussed below.

1. New/ existing patient contact at front desk
2. Collection of all insurance information and tranfer to SPSOFT
3. Verification and authorization for type of care needed.
4. Insurance Verification and authorization
5. Front desk proceeds to inform the patient on his/her deductibles, co-payments, eligibility and so on.
6. Consultation
7. Patient's visit to physician or care provider. Check for any special preauthorization is needed with      documentation
8. Coding - SP-SOFT do pre coding and coding for medical offices