Medical Billing Services

Whether you need turnkey billing services or an extra hand to lighten your staff’s workload, we’ve got you covered.

Let our team care for the financial health of your practice.

The financial health of your practice depends on rapid, successful claim submissions and payment postings. No easy task, especially with multiple health-insurance providers, plans, and processes to master. We can help. Leverage our end-to-end billing services or just those you need most.

Two plans. Unlimited flexibility.

Turnkey Plan

Count on our team to handle every step of the billing process for you.

Flex Plan

Select only the billing services you need, when you need them.

Eligibility Verification

Per industry sources, close to 70% of all denied claims can be attributed to ineligibility—the patient is not eligible for services billed to the insurer by the provider. In most cases, a patient’s policy has been terminated or modified. Our team verifies patient benefits and eligibility—prior to the service being rendered—significantly reducing denials and unpaid claims.

Prior Authorization

We help you know—in advance—whether or not your patient is eligible for a particular service under their health insurance plan. We obtain approval before services are provided, and ensure payments are received promptly.

Claim Submission

Filled with unique challenges, the claim submission process is an intricate part of the medical billing process. The experienced billers at Nsight can help. After claim details are entered, our team reviews the data thoroughly and makes corrections, if needed. Our timely and accurate submission process ensures claims are paid without hassle. We also make sure secondary and tertiary claims are submitted, when applicable.

Payment Posting

At Nsight, we not only process payments, but also provide you with trend analysis and reasons for denials. We process the following types of remittance transactions, with an exceptional degree of accuracy and timeliness:

  • Electronic Remittance Advisory (ERA) posting
  • Manual payment posting
  • Denial posting
  • Patient payment posting

Denial Management

We offer a full suite of healthcare denial management services, such as accounts receivable follow-up, claim status check, denied claim resolution, appeal letter preparation, and more. And we do all this with one goal in mind: obtain payment for the services you rendered. To accomplish this task, we perform a thorough root-cause analysis, determine the best way to fix an issue, take corrective action, and resubmit the claim for payment.

AR Follow-Up

At Nsight, our goal is to maximize your cash flow by minimizing overdue accounts receivable (AR). Pending claims are monitored regularly—we conduct an extensive analysis of pending accounts receivable and follow up with insurance providers and patients as needed. If a claim is pending for more than 30 days, we proactively contact insurance companies to settle payment.

Nsight Service: Turnkey Medical Billing

“Nsight Global has helped me get my brand new physical therapy business off the ground. They have helped to make sure I get payments from insurance as quickly as possible. They have worked tirelessly to chase down denials and make corrections as needed. They respond quickly to all of my questions and concerns. There is no way I could have survived these last 7 months without them. Having Nsight to do my billing has allowed to me to place my focus on patient care, the thing I love most. I wouldn’t hesitate for a second to recommend them to anyone.”

Lacy Viertel
PT

Reporting

Gain insight into your financial health with comprehensive reporting.

Nsight provides reports that make it easy to track the financial health of your practice. Our informative reports are clear, concise, easy to read, and can be customized to meet your specific needs. They also show our performance—how well we’re collecting revenue on your behalf. To ensure you get the most from your reports, we meet with you and your staff frequently, review each report, and answer any questions you may have.

Nsight Service: Turnkey Medical Billing

“I am a podiatrist, new to private practice. I was introduced to Nsight billing a year and half ago. I use Kareo EMR and once a week, Nsight billing sends me a weekly excel billing report via email, which is easy to edit and send back. All paper ERAs and insurance correspondence letters that I receive, I scan and upload them to a secure site (Box). I am very happy with their service; they are quick, professional, knowledgeable, efficient, organized, and highly recommended. I have recommended them to two of my colleagues, and they are satisfied with the service.”

Foot and Ankle Specialist

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98%

SATISFACTION RATING

The better we do our job, the more time and resources you and your staff have to do yours.

FAQ

At Nsight Global, our pricing is customized to your needs and we offer two different pricing models.

Turnkey Plan
The fee is a percentage of the revenue generated by the practice in a month. The percentage is based on several factors, including your specialty, number of providers, average claims per month and the average collection per claim. Our rates are always very competitive.

Flex Plan
This model is usually offered to customers who require a specific service to be performed or is interested in a flexible model. Hourly rates are charged based on the expertise requested and calculated on the hours deployed. This is just like hiring your own employee(s) but without the HR hassles. Also, you can expand and contract these resources as needed. We charge extremely competitive hourly rates.

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From the start we make sure you understand all the services that we will render and all the associated costs. Our invoice process is well laid out, so you know what you’re exactly paying for. There are no hidden charges or set up fees involved.

As part of our service, we provide a mutually agreed set of weekly and monthly reports. In addition, our clients have real time access to the billing system and all information that you or your staff may need is well within reach.

Yes. As soon as the contracts are signed, we allocate an account manager who will be accountable for your receivables and will be available to talk/email when you have questions/suggestions. All our clients have access to our owners, billing managers and IT personnel during normal business hours. We are not just a billing company, we act as an extension of your practice.

Yes. Nsight Global has extensive experience with many of the major companies providing billing services. We can help you choose what’s best for your situation.

Yes. Nsight has extensive experience with AthenaHealth. We can help manage your Athena account in these areas: 

  • Patient Demographics
  • Eligibility verification
  • Authorizations
  • Time of service collections report
  • Charge entry (Missing Slips)
  • Claim scrub and drop claims to the payers
  • Hold and Manager Hold buckets.
  • Correspondence dashboard.
  • Zero pay review
  • Unpostable Dashboard
  • Payment mismatch wizard
  • Patient AR review and management
  • Dashboards – Practice Management reports

Enrolling in Medicare can take up to 45-60 days. You will still be reimbursed for the services you’ll be providing during this period.  Nsight Global can assist you with this process. 

We will turn around the information given to us within 24 hours of receiving it. Our staff works throughout the night to expedite your claims.  Commercial insurance companies will usually pay within a 25-45 day window. A Medicare intermediary will usually pay on average in 15 days. 

The enrollment team at Nsight is trained specifically for the enrollment tasks and we make sure this is an integral part of our onboarding process. When a new account is signed, we ensure their entire payer mix enrollments are in place and running optimally. 

While each billing operation is different in their needs, there are certain tasks that are easiest to begin with. Our suggestion is to move all data entry related work to us to create a 24 hours service. This will definitely help the physicians to do the initial evaluation on the quality of work getting done.

Contact

Nsight Global Inc. 785 Oak Grove Road E2 #259 Concord, CA 94518