Services
File Paper and Electronic Claims
- Claims are entered into our database and audited for accuracy
- Accurately code and bill for office visits, consultations, professional fees, technical components, professional and facility fees for hospitals
- We remain current with specific insurance regulations to ensure maximum allowable reimbursement
- We process Secondary Carrier claims upon receipt of the primary carrier EOB to ensure receipt of the maximum amount covered
- We process claims for Medicare, BC/BS and Medicaid among other payers
Electronically Post Payments
- Posting Insurance Payments, Cash Payments & Adjustments
- Each EOB is audited for correct payment and/or benefits
- Each EOB is analyzed to make sure each claim is credited correctly
Denial Management and Collections
- Immediate steps are taken in order to process any unpaid or reduced claims
- Collection calls
- Follow-up and documentation
- Appeal insurance carriers on delayed or denied claims
- Refunds
Accounts Receivable Analysis
- Provide monthly accounts receivable aging reports
- If any claims are not being paid, we notify the provider’s office so the corrected claims can be resubmitted
- Patient Statements are mailed as insurance payments are posted and at the beginning of each month
Other Services Offered
- Verification of Benefits
- Increase Payor Reimbursement
- Reports
- Data Entry
- Coding Benchmarks
- Coding Questions
- Educational Feedback
- Charge Capture/Lost Revenue
- Knowledge of software including Soren Technology, ASPC, eClinicalWorks, Lytec, PC-ACE Pro32, Medisoft, NowMD Billing Software
