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.

Provider Type

  • Chiropractors
  • Mental Health Providers (including, LPCs, LCSWs, LMFTs and Psychologists)
  • Family Practice physicians
  • OB/GYN
  • Cosmetic surgeons
  • Group Practices
*We are able to bill for any practice that uses a CMS-1500 claim form