Billing Services
Dedicated Account Executive
We assign a dedicated Account Executive to your account to handle all aspects of your billing needs — entering charges, submitting claims, sending patient statements, following up on accounts receivable, and answering patient billing questions. This representative functions as the primary liaison with your practice.
Reports
We provide comprehensive monthly closing reports that typically include a summary of charges, receipts, adjustments, accounts receivable analysis, and multiple productivity reports. We will offer you a wide range of custom reports that will enable you to evaluate the unique structure of your practice. We will regularly consult with you to review your monthly reports.
Coding
We supply the most current CPT, ICD-9, and HCPCS coding expertise to minimize denials and unnecessary delays in reimbursement.
Billing
We electronically bill all payers and handle third-party billing (including Worker’s Compensation and liens).
Claims Follow-up
We review all unpaid claims within 30-45 days of the initial billing date, appeal denials (bundling, medical necessity, etc.), resubmit claims for review when initial payment is inconsistent with typical doctor profile, and maintain managed-care contract profiles to assure proper reimbursement — a critical factor in maximizing collections.
Posting
We also post payments received to patient accounts (line item application allowing tracking of CPT reimbursement history). We post adjustments according to provider’s managed-care contract profiles, monitoring the profiles for reimbursement accuracy as outlined above.
Statements
And we’ll send monthly statements to patients and follow up on non-payment by phone and mail. The patient billing cycle includes multiple statements, followed by delinquency notices.
Regulatory Requirements
We advise physicians on any changes in HCFA requirements, CPT, and ICD-9 coding to achieve claim compliance for the fullest reimbursement for services.
Review
We assist in fee-schedule review and updates to maximize the practice’s profitability.
