Billing Services We Provide
- Benefit and Account data Verification – Making sure that insurance and patient demographics are active and accurate, ensures a reduction of days in AR, and makes your practice revenue more predictable.
- Claims Scrubbing and Verification – Essential for making sure that coding and billing records match the services rendered and reduces the number of claims that fail at the payer level.
- Compliance Audits – Auditing and ensuring that services rendered meet the federal and payer requirements is essential in avoiding fines and sanctions.
- EDI/Clearinghouse setup and Management – Ensuring that providers are enrolled and able to send claims to payers is essential in billing department efficiency.
- Clearinghouse and Payer Rejections – Understanding clearinghouse and payer electronic claims requirements and working rejections in real time decreases your overall AR.
- Back-end Cash/ERA posting – Applying incoming payments from ERA’s to patient mail in a timely manner ensures efficiency when focusing on AR roadblocks.
- Denial Tracking and Action – Tracking and looking for trends based on denials helps to identify and resolve trends that hold up reimbursement.
- Patient Collections / Customer Service – Sending statements and following up with patients after insurance pays, ensures you are getting the most from the services you are providing. Our team is dedicated to a gentle collections approach with a team of professionals able to explain why the patient is responsible for their portion.
- Payer Contracting – Making sure you are getting the best reimbursement for the services provide and are open to the most patients requires good contracts, we will work to get you the best reimbursements through comprehensive contract negotiation.
Credentialing Services We Provide
- Provider Linkage - Comprehensive review and gathering of data needed to ensure your existing provider or your new provider are linked to all of your payer contracts.
- CAQH Management
- New Provider Establishment
- Medicare and Federal Payer Enrollment
- Physician Licensing
- NPI Establishment
- Malpractice enrollment
