In this department, we have reliable individuals who first enter the patient personal information from the demographic sheets. They then check for the relationship of the Diagnosis and CPT code. Then they create a charge, according to the billing rules pertaining to the specific carriers and locations. All charges are accomplished within our agreement with the client.
The daily charge entry then needs to be audited to double check the accuracy of this entry, in other words, this is the check and balance to make certain the billing rule is being followed accurately. Also, this department verifies the accuracy of the claims based on carrier requirements to be sure we have a clean claim.
The transmission department prepares a list of claims that go out on paper or through electronic media. Once claims are transmitted electronically, clearing house reports are reviewed in 24 to 48 hours for any transmission rejections and appropriate corrective action is taken right away. Paper claims are printed, and attachments are done, and put into envelopes.
The carrier Utilization Review department would then review the claim. Once the review is completed, the claim would then be adjudicated and processed for payment. Then the EFT and ERA is sent electronically.
From our aging report if any inaccuracies are detected we will research, correct, resubmit unpaid or denied claims. When applicable we immediately call the health care payer or appeals for reconsideration of the unpaid or denied claims.
After the payment received have been applied, the patients are billed for deductible, co-pay, and co-insurance or for any non-covered service. If payment is not received after 3 statements, we refer the patients .
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At Madrelle Practice Medicine (“we,” “our,” or “us”), we are dedicated to safeguarding your personal information. This Privacy Policy explains how we collect, use, disclose, and protect your information when you visit our website https://madrelle.com/ and any associated landing pages (collectively, the “Site”). By accessing the Site, you consent to the practices described in this policy.
1. Information We Collect
We may collect personal information from you in various ways, including when you:
– Visit our Site
– Fill out forms
– Subscribe to our newsletter
– Communicate with us via email or phone
The types of personal information we may collect include, but are not limited to:
– Name
– Email address
– Phone number
– Address
– Insurance information
– Payment information
2. How We Use Your Information
We may use the information we collect for various purposes, including to:
– Process and manage billing and payment transactions
– Provide customer support and respond to inquiries
– Improve our Site and services
– Send periodic emails regarding your services or other products
– Comply with legal obligations and protect our rights
3. Disclosure of Your Information
We do not sell, trade, or otherwise transfer your personal information to outside parties without your consent, except in the following circumstances:
– To third-party service providers who assist us in operating our Site, conducting our business, or servicing you, so long as those parties agree to keep this information confidential.
– When we believe release is appropriate to comply with the law, enforce our Site policies, or protect ours or others’ rights, property, or safety.
4. Data Security
We implement a variety of security measures to maintain the safety of your personal information. However, please be aware that no method of transmission over the Internet or method of electronic storage is 100% secure. While we strive to use commercially acceptable means to protect your personal information, we cannot guarantee its absolute security.
5. Your Rights
Depending on your location, you may have the following rights concerning your personal information:
– The right to access your personal information
– The right to request correction of inaccurate information
– The right to request deletion of your personal information
– The right to object to processing
To exercise any of these rights, please contact us using the information provided below.
6. Third-Party Links
Our Site may contain links to third-party websites. We do not control these websites and are not responsible for their content or privacy policies. We encourage you to review the privacy policies of any third-party sites you visit.
7. Changes to This Privacy Policy
We may update this Privacy Policy from time to time. We will notify you of any changes by posting the new policy on our Site with a revised effective date. We encourage you to review this policy periodically to stay informed about how we are protecting your information.
8. Contact Us
If you have any questions about this Privacy Policy, please contact us at:
Madrelle Practice Medicine
6586 Hypoluxo Rd. #268
Lake Worth, FL 33467
*By using our Site, you consent to our Privacy Policy and agree to its terms.
Thank you for trusting Madrelle – Medical Billing Service with your medical billing needs.
*SMS Consent or phone numbers are not shared for the purpose of SMS with third parties or affiliates.
We collect on all unpaid claims. no exception! We understand that every line item counts no matter how small or large. Madrelle conduct weekly staff meetings to ensure that our clients needs are being met and to ensure that productivity is at the highest level possible.
We employ medical billing experts to assure that our client’s claims and patient balances are reimbursed accurately and within a timely manner, all for one low fee. There are NO HIDDEN FEES. We understand the idea of hiring us is to lower cost. We do not bind you with a complex service agreement.
One of the most tedious and time-consuming tasks for any medical office is completing the paperwork associated with billing, insurance claims and the filing of those claims. While you take care of your patients we’ll take care of you. We allow you to give your patients the attention they deserve as we take care of the rest!
