Services

BILLING

     Filing claims

• Claims are submitted to the insurance carrier electronically for faster response.
• Secondary and Tertiary claims are prepared and sent upon receipt of primary payer.
• Regular reports and claim submission reports are provided to monitor billing status.
• Experienced in Medicare, Medicaid, Medpay and all commercial insurance billing

Payment processing and A/R recovery

• Manage accounts receivable and post payment to accounts upon receiving 
• Managing denials and appeals until fully resolved. Claims are reviewed for payment approximately 30 days after submission.
• A/R recovery is achieved through follow-up calls and resubmission to insurance carriers.

Patient Billing

• Up to four patient statements are sent to each patient with account balances.
• Patient billing and collections is directed by each physician and what best suits their needs.

Consultation

• Upon consultation, we access your billing needs and offer advice on how to increase revenue moving forward.
• Basic review for minimum Medicare and commercial allowables vs provider’s current fee schedule.

CREDENTIALING

• We provide a list of insurance panels for each provider that targets their demographic area and suggestions on insurance panels to join.
• New contracts are set up with each insurance panel available
• Demographic or other practice changes for existing contracts can be updated at any time
• Maintenance of existing contracts and re-credentialing will also be provided when needed.
• Maintenance of CAQH, licensure, etc. can also be achieved by request.

Additional Services

• We offer auditing services for providers who would like us to evaluate their current billing practices and account receivable.
• We also offer medical billing training to current employees who will be aiding in the billing process.

*We are able to bill for any practice that uses a CMS-1500 claim form