Charge Posting

We post all charges from the information you provide by coded encounter forms. We review all the information you send to ensure that all cpt and icd-10 codes are accurate and up to date. We apply modifiers where appropriate to inform payors of unusual circumstances for the highest reimbursement possible.

Appeals

We will file appeals for non-payments, reduced payments, and denials from insurance companies as soon as we post the payments. We don’t wait for follow up reports to get you your money. We are here to get you paid at the highest level for your services.

Data Entry

We enter all patient demographic and insurance information on all your patients from start to finish. We’re here to make your life easier and allow you to focus on patient care, not data entry.

Claim Submission

We review all claims for accuracy before filing them. All claims are filed in electronic format when available or submitted in paper form if required. We send it right the first time for faster payment for your practice.

Insurance Follow-Up

We aggressively attack all outstanding and unpaid claims through our monthly insurance follow-up program. We follow up on all claims: primary, secondary, and tertiary to keep your revenue at its highest possible levels.

Payment Posting

We will post all your payments, from copays to insurance payments. All payment posting is done from copies of checks and eobs that you send to us. All your payments come to you in the same manner that you have it set up now. We never touch your money.

Collections

We review patient accounts monthly for past-due balances and collection recommendations. The decision is yours and yours alone. We will never release an account to collections without your knowledge and permission. After all, who knows your patients better then you do?

Patient Statements

We send monthly patient statements and handle patient questions. We also track past due balances, make patient payment arrangements, and track charity and indigent write-offs.

Refunds

We review all requests for refunds by patients and insurance companies to determine the accuracy of the request. Once the request has been validated, we will submit a refund request form to your practice asking you to send a refund, where to send it, who to send it to, and the reason for the refund.

Patient And Client Confidentiality

We understand the need for confidentiality. We adhere to the highest standards for our clients and their patients. We will never sell, trade, or use your information or your patient’s information for any marketing or sales venture. The information we collect from your practice will only be released to those entities who require that information to process claims and appeals and always within the standards and practices set forth by the health insurance portability and accountability act of 1996 (HIPAA).

Monthly Reports

We know what a big decision it is to outsource your billing. That’s why we keep you informed about the status of your practice through our monthly reporting program. We will supply you with various reports so you can know exactly how your practice is doing, including: “practice analysis reports,” “referring provider reports,” “monthly activity summary” as well as “activity summaries by provider, insurance company, and CPT code.” These reports are designed so you can track your monthly charges and payments as well as your outstanding accounts receivable balances and to know exactly how well your practice is performing.