Billing and Claims Administration

Billing And Claims Administration

Billing and claims administration: Today’s Headline - Zymeda fired the robots.

The Zymeda team has worked in healthcare across the U.S for over twenty years. We know healthcare. We understand relationships.

We also know technology is a tool, not the total solution.  

Careful handling — sounds simple, but what in healthcare is simple? 

As a partner with your practice, Zymeda provides a full spectrum of revenue cycle management services. Our experienced team will:

  • Verify patient eligibility and benefits
  • Maximize claim acceptance; on the first submission
  • Audit and validate coding - more on that below
  • Maximize electronic (EDI) claims submissions
  • Update fee schedules
  • Perform capitation reconciliation (when applicable)

The Zymeda EDI system — technology you control.

Our EDI system allows our staff — and yours — to track claims every step of the way,; and, on average, you receive payment 15 days sooner.

We realize many practices have made significant investments in both technology and staff training with their PMS. Using secure technology, our staff can provide our services using your platform at your facility. Of course, if you are looking to replace or upgrade your current platform, we have options.

Robots submit. Zymeda communicates.

Zymeda clients experience lower than the National Average of coding errors. We manually and electronically audit and validate coding to the greatest degree of specificity, ensuring reimbursement in risk adjusted payment situations. Add to that, our billing services strive to submit clean claims that both greatly reduces denials and always complies with the latest National Government Service policy for Procedure and Diagnosis Coding.

Our goal: minimize compliance issues while maximizing revenue.

With consistent communication, we carefully close the feedback loop between the providers and the billing team and often educate providers about documentation requirements.

It may sound simple, but it’s not. We just make it feel that way.

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