At Healthgroupz, we offer a comprehensive suite of healthcare services designed to streamline your operations, maximize revenue, and improve overall efficiency. From medical billing to contract negotiation, we provide expert solutions tailored to meet the unique needs of healthcare providers.
Medical Billing
At Healthgroupz, we offer comprehensive medical billing services to optimize revenue and enhance cash flow for healthcare providers. Based in Houston, Texas, we integrate a Practice Management System and EHR with a state-of-the-art billing system to streamline the payment process and reduce receivables.
Services Includes:
Billing Accounts Receivable Management: We ensure timely payments by managing accounts receivable, tracking outstanding balances, and implementing effective collection strategies.
Electronic Claims Processing: We facilitate quick and efficient claims submission to insurers, reducing delays and speeding up reimbursement.
Patient and Insurance Payment Postings: We accurately post payments from patients and insurance companies, ensuring proper account reconciliation and minimizing discrepancies.
Insurance and Third-Party Payers: We work with various insurers and third-party payers to streamline claim processing and ensure prompt payments.
Payer Reimbursement Tracking: Our team monitors reimbursements to guarantee timely payments and promptly addresses any delays or missing funds.
Denial Management: We resolve claim denials by addressing issues and resubmitting claims to recover funds.
Procedure and Diagnosis Coding Consulting: Our experts provide consulting to ensure accurate, compliant coding, minimizing the risk of claim denials due to coding errors.
Medical Transcription
Health Groupz offers secure and efficient medical transcription services with a focus on accuracy and affordability. With over seven years of experience, our services cater to individual doctors, group practices, clinics, and hospitals.
Secure HIPAA Medical Transcription Service: We ensure all transcription services comply with HIPAA regulations, safeguarding patient confidentiality throughout the process.
24-Hour Medical Transcription Turnaround: We guarantee a 24-hour turnaround time, delivering accurate transcriptions promptly for efficient patient care.
Flexible Dictation Using a Digital Recorder: Healthcare providers can use digital recorders to easily dictate patient notes and medical records with accuracy and convenience.
Low-Cost Medical Transcription at 65 Character Line Rate: Our competitive pricing at 65 characters per line ensures affordable transcription services without compromising on quality.
100% Transcription Quality Checking: Every transcription undergoes rigorous quality checks to maintain high standards of accuracy and reliability.
Expertise in All Types of Reports: We specialize in transcribing various medical reports, including consultation notes, discharge summaries, operative reports, and more.
Experienced Transcriptionists Across Various Specialties: Our transcriptionists are experienced in handling different medical specialties, ensuring accuracy and contextual understanding.
Back Office Support
Health Groupz provides a range of back-office support services designed to enhance the efficiency and effectiveness of healthcare operations. Our back-office support is tailored to meet the specific needs of healthcare providers, ensuring that administrative tasks are handled smoothly and efficiently, allowing medical professionals to focus on patient care.
Prior Authorization: We support healthcare professionals, facilities, and hospitals in securing prior authorization for radiology procedures, ensuring compliance and preventing payment denials. This service is vital for avoiding financial losses and ensuring procedures are covered by insurance.
Shared Staffing & Benefits: We assist in merging healthcare units and consolidating teams, including physicians and nursing staff, to boost service capacity and streamline restructuring. Our assessments optimize staffing and space usage, ensuring high-quality care and operational efficiency.
Office Management: Our administrative team handles all office processes, from scheduling and patient management to billing and compliance, ensuring smooth, efficient operations and helping you achieve your organizational goals.
Medical Practice Management: We manage your practice’s daily operations with our PMS software, handling patient demographics, scheduling, insurance payer lists, claims processing, and EHR management. Our comprehensive services ensure your practice runs smoothly and efficiently.
Contract Negotiation
Health Groupz specializes in negotiating contracts with HMOs and PPOs on behalf of our clients. Our contract negotiation services involve assessing various risk models and analyzing historical data to determine the most beneficial arrangements.
We negotiate withhold levels on PCPs, specialists, and hospitals to ensure fair compensation. We determine funding levels for specialty, hospital, and pharmacy funds, balancing the financial risk and benefit for our clients. We set limits on financial risk, managing both upside and downside risks to protect our clients’ interests. Our team negotiates physicians’ fee schedules and hospital compensation to ensure competitive and fair rates. We address restrictions on the use of IPA/PHO physicians in health plan marketing, ensuring compliance with contractual obligations. We handle amendments, liability insurance, and contract termination, providing comprehensive support throughout the contract lifecycle. Our goal is to provide tailored contract negotiation services that minimize financial risks and maximize benefits for our clients.
