Our Premiere Medical Billing and Collection Services Include:
PHYSICIAN CREDENTIALING SERVICES
If requested, we provide your physician clients with complete credentialing services and can credential them with all the insurance carriers and networks of their choice.
MAINTAIN CREDENTIALING DOCUMENTATION
If requested, we maintain all pertinent credentialing documentation (e.g. DEA, Medical Licenses, Board Certificates, Malpractice Insurance Face Sheets, etc).
DATA ENTRY
We obtain clinical information from the provider and/or practice and enter this information into the billing and collections system.
FILE CLAIMS
Depending upon the insurance carrier most claims are filed electronically and only a few will go on paper.
BILLING PLATFORM
Our staff is trained to bill and collect on multiple electronic platforms using the most current security software available on the market.
PRE-COLLECTION SERVICES
We provide a pre-collection service on those accounts that aren’t quite ready for full collection. The pre-collection service offers an effective and more cost-effective way to notify customers of how serious their past due account bill is – while still providing respective leniency and professionalism.
STATEMENTS
Mailed out on behalf of the practice or facility. The protocols of statements and collections are done specifically to client specifications.
PAYMENTS
As we receive payments and explanations of benefits from clients, we post these into the billing and collections system. Each EOB will be audited for correct payment and/or benefits.
APPEALS/DENIALS
Integral to increasing client’s revenues, we spend much time and effort pursuing cases where a payment or denial has been made incorrectly, we challenge the insurance companies to receive the maximum reimbursement.
REPORTS
Done on a monthly basis. Because each provider and/or practice is different, we customize our reports as needed.
CLEARING HOUSE
We use multiple clearinghouses – that help physician practices increase profitability through improved claims reimbursement and staff productivity.
CODING
Our team of medical billing coders are proficient in ICD-10-CM, CPT, and HCPCS codes and standards, insurance and governmental regulatory requirements, and payer-specific coding requirements.