Our Full-Service Outsourced Billing and Collections service includes:

 

  • Provider credentialing with payers
  • Commercial Payer Contract Negotiations
  • Obtain prior authorization
  • Provide financial counseling to patients and respond to patient billing and insurance questions throughout treatment
  • Work with the client to ensure proper charge capture
  • Provide a report of outstanding or missing charges
  • Submit electronic claims for primary and secondary payer process
  • Daily posting of all insurance and patient payments
  • Electronic remittance advice processing and electronic insurance payment posting
  • Scan and post commercial payments for digital purposes and link to patient accounts
  • Send monthly patient statements
  • Manage the denial process, including organization of peer-to-peer review meetings, re-billing, re-filing, unpaid claims, and appeals
  • Manage accounts receivable
  • Handle all billing related correspondence with the insurance carrier and patients
  • All client/patient information house in Cloud
  • MIPS can be provided for a fee per provider*

Monthly Billing and Collections Reports

 

  • Accounting Summary
  • Patient Detail Analysis
  • CPT and wRVU Productivity by physician and Advanced Practice Professional (APP)
  • Procedure Revenue
  • Lockbox Reconciliation & Payment Analysis
  • Ad hoc reports upon request
  • Assist Client with report analysis and make suggestions regarding billing improvements