COMPLETE REVENUE CYCLE MANAGEMENT

 

• Charges verified against EHR documentation before being released into the billing cycle– to ensure compliance

• Electronically submitted claims– Any claim that is rejected at front end is reviewed, researched, and corrected, then resubmitted, avoiding unnecessary processing delays

• Insurance follow up– We reach out to the payers to assure that your claim has been received and is in process

• Payment posting–  We can upload ERA information from the clearinghouses to post your insurance payments

•  Claim submission to secondary insurers

• Denied claim appeals

• Monthly reporting to provide metrics on status of claims, aging of insurance and patient receivables– This gives you a snapshot of your practice’s financial health

• Statement submittals to your patients and provide follow up on patient receivables with soft collections

• Your patients contact us with any billing questions giving your staff more time to spend on patient care

• We provide you and your staff with the training, tools and assistance you need to make the business side of your practice organized, efficient and more successful

• Reduce overhead expenses

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ADDITIONAL SERVICES OFFERED:

• Assistance with New Practice Start Up

• Credentialing

• CAQH Enrollment and Maintenance

• NPI Enrollment

• Medicare Enrollment through PECOS

• Compliance Assistance

• Assistance setting up your Practice Master Files

• Annual Medicare and Commercial Insurance Fee Schedule Updates (by database and report

• Coding and charge audits

• Billing Audits to Ensure Documentation

• Accuracy and Completeness- Education provided on Correct Documentation Practices to avoid Coding Issues