Here's a brief description of the services we offer:
Full or Partial Billing Services
We apply Lean Six Sigma processes tailored to your needs; Whether you need us for just to get you up and rolling or retain our services for all of you billing needs.
Accurate coding of medical claims to ensure maximum reimbursement from insurances with clean claims.
Electronic & Paper Billing
Ensure accurate and timely coding and insurance billing, so that claims are processed faster, which improves cash flow.
Post payments received by Patients and Insurance Companies directly into the patient's account in the practice management system. Experience & knowledge of different kinds of EOB's and ERA's across all payers. Review & track payments received from payers for accuracy and appropriateness.
Track all claim submissions and resolve claim issues. Reconciling all payments received against claims sent to ensure all services rendered have been submitted for payment.
Analyze EOB's/ERA's to identify causes of denials, zero payments, and claim reversals, and work them until complete.
Billing patients for their responsible portion of claims after the insurance has paid, such as: deductibles, co-insurance, and/or copay amounts. Lack of patient billing can be a huge loss in revenue over a period of time.
Account Receivables & Collection
Reduce the amount of write-offs to increase collections, by analyzing receivable issues & recommending process improvement plans to improve collection. Identify and resolve any core reasons for unpaid claims.
Provide consultative services including: Complete analysis of your practice, including your fee schedule, evaluate & review billing structure, develop & optimize superbills/encounter forms, and any other factors.
This is a critical step for providers to become part of a Payer Network. We can effectively and efficiently perform this process for providers by completing all the necessary forms.