Services

We are well equipped to handle the frequent changes that occur in today’s healthcare system. Since our goal is to collect funds that are due to healthcare providers, it is our responsibility to keep up with the complexities and requirements of CMS and other payers. We pride ourselves on our ability to follow up on the unpaid or rejected claims and to work with the payers to get rapid resolution of denied claims. Our services include but are not limited to the following:


Electronic Billing   Electronic claim filing to Medicare, BCBS, Medicaid and most commercial payers.

Paper claim submission Paper submission to non-electronic payers and or secondary claims.

Payment Posting,   We post your insurance and patient payments. We research and rebill all rejections immediately.

Delinquent claim follow up With more insurance carriers implementing shorter filing deadlines, frequent and effective claim follow up is the only way to make sure that you are reimbursed for your services. We keep track of your unpaid insurance claims and work with the insurance carriers to make sure that we get your claims paid.

Patient Statements We process patient statements monthly on your behalf and answer questions concerning their bills.

Financial Reports We offer financial reports that keep you up to date with the status of your account. We tailor our reports to the needs of your practice.

Advanced knowledge We are proficient in IcD-9/10, CPT Procedural coding, and Meaningful use stage 1 and 2

EMR System knowledge on the following systems but not limited to:

eClinicalWorks V11

dThomas

Centricity

Epic

Ez Claim


Lastly, Our services are invoiced monthly for a percentage of net collection. The percentage we charge varies for each client. We base our fee on several factors including the amount of support needed and volume of claims. We work with each client to customize solutions that will maximize their revenue.