Medical coding and operational support for the healthcare sector

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Our services

At MKG Medical Network, we are 100% focused on getting your claims paid. Whether you haven’t succeeded in collecting your claims, are receiving underpayments, lack the time or staff to follow up, or simply don’t want to deal with insurance companies — we’re here to help you get the compensation you deserve.

With MKG Medical Network, a dedicated team works for you at every stage of the claims process. We integrate seamlessly into your operations, taking charge of your claims so you can focus on what matters most: transporting and caring for your patients. 

At MKG Medical Network, we deliver standardized services and measurable results
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Benefits verification: A thorough and accurate benefits check is the single most important thing to do — and also the most common critical failure that can impact an insurance claims payment. As professionals, we know exactly what questions to ask, and as those questions evolve, we evolve with them.

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Pre-authorizations: Obtaining prior authorization significantly reduces the risk associated with any medical procedure and practically guarantees claims payment. Thanks to our specialized experience in air ambulance billing and claims submission, we know exactly what is needed for medically necessary procedures to be approved. We work together with your team, case managers, and handle the entire pre-authorization process.

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Claims submissions: We submit your claim as soon as we receive all required documentation, and we keep you informed throughout the entire process. Our Claims Specialists continuously follow up, keeping your file visible to the insurance company until we get the desired results.

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Appeals: No matter how well-prepared a claim is or how medically necessary the procedure is, the insurer may still deny it. They count on you accepting the denial without an appeal, as the appeal process can take months and cost significant time and money. At MKG Medical Network, we don’t take “no” for an answer — and we don’t think you should either. We work to overturn unjustified denials, removing the burden of appeals at no upfront cost to you. 

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Claim payment negotiations: No matter how well-prepared a claim is or how medically necessary the procedure, the insurer may still deny it. They count on you accepting the denial without an appeal, as the appeal process can take months and cost significant time and money. At MKG Medical Network, we don’t take “no” for an answer — and we don’t think you should either. We work to overturn unjustified denials, removing the burden of appeals at no upfront cost to you.

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Rate setting: Every provider must establish their rates when submitting claims. We evaluate your billing model based on industry standards and our experience and provide you with clear and strategic recommendations.

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Up-to-date billing codes: Without a full understanding of ICD-10 and CPT/HCPCS codes, you could enter the wrong modifier and delay your claim payment. We train your medical team in the use of the most up-to-date codes, ensuring you and your patients receive the maximum policy benefits.

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Legal support: We do everything possible to resolve claims without legal action, but in some cases, it’s unavoidable. If all operational and appeal steps have been exhausted and the claim is denied, MKG Medical Network’s internal legal team will take the necessary actions against the insurance company to obtain payment. Legal action may include: legal demand letters, legal notifications, mediation, arbitration, and litigation. 

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Air ambulance service: At MKG Medical Network, we offer a highly specialized air ambulance service designed to deliver in-flight medical care with staff trained in emergency response. Our team ensures safe, rápidos and with direct communication with the receiving hospital, ensuring continuity of care from takeoff to the admission.Access more information about our air ambulance service in Costa Rica here: www.airmedicalassistancecr.com 

MKG Medical Network is a company specialized in medical coding, claims management, and air medical transportation.
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contacto
333 H St. Chula Vista, CA 91910
contacto@mkgnetworkmedical.com
+1619 988 6512
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