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