Dedicated Billing Specialist
We assign a dedicated billing specialist to you to handle all aspects of your billing needs, entering charges, submitting claims, sending patient statements, following-up, and answering patient billing questions, and also function as the liaison between your practice and us.  We will train your staff and educate them about all aspects of the billing process.

 
Reports
Provide comprehensive weekly reports that typically include a summary of charges, receipts, adjustments, and refunds by doctor and/or payer and/or practice location, payment summary and detail, aged receivables by patients, payers, and insurance by service date or dates posted, procedure productivity reports, true reimbursement by contract and CPT.

Coding
Assist with CPT, ICD-9, and HCPCS coding to maximize reimbursement and minimize denials.

Billing

Electronic claim submission to primary, secondary, and tertiary insurance for all patient visits.

Claims Follow-up

Review all unpaid claims within 30-45 days of initial billing date, appeal denials, and resubmit claims for review when initial payment is not in line with typical doctor profile and maintain Managed Care contract profiles to assure proper reimbursement-a critical factor in maximizing collections.

Posting

Post payments and adjustments to all patient accounts.

Statements

Send monthly statements to patients and follow-up non-payment by phone and mail.

Regulatory Requirements

Advise physicians on any changes in HCFA requirements, CPT, and ICD-9 coding to maximize their reimbursement and assure that all transaction are HIPAA compliant.

Review

Assist in fee schedule review/updates annually (automated fee/profile schedule updates).