Our Process

• SA Billing specializes in revenue cycle optimization and management for hospitals, extended care facilities and physician groups.
• Our organization employs an array of technologies that expedite claim processing by streamlining doctor-biller collaboration. To illustrate the process, providers that work with SA Billing use Electronic Medical Records during day to day clinical operation. At the completion of each patient visit, a claim is automatically submitted to SA Billing's claim processing engine. The engine checks the claim to ensure that it meets the criteria of private and government payers; such as the National & Local Coverage Determinations, which dictate whether a claim will be processed based the payer's definition of "medical necessity". If a claim passes the aforementioned validation tests, it is immediately sent to the payer electronically for processing.
• Claims that are rejected or underpaid by the payer are evaluated by SA Billing's team of medical billing experts to determine the likelihood of collection.
• Claims that warrant follow-up are modified to conform to payer feedback and appended with supporting documentation to further justify compensation.
• In the event a payer refuses to adequately reimburse a claim that is medically reasonable and necessary, SA Billing will aggressively pursue adjudication to prove the payer's financial responsibility and recover the funds.