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
