Claims are submitted electronically on a daily, weekly, or monthly basis depending on provider preference.
Insurance verification is obtained for new and current patient’s that have insurance changes. Information obtained includes: Copay, Coinsurance, Deductible, Number of Visits Allowed, Authorization Requirements, Allowable CPT Codes and any other conditions of the policy. This information is then reported back to you making you aware of any amounts due by the patient at the time of service.
If allowed by the insurance carrier and authorized by the providers office this will be secured at the time of Benefit Verification.
Claims Follow Up/Resolution
Aging reports are ran once a month and outstanding balances are followed up on. Let us do the timely investigating on those hard to get paid claims.
Patient statements are sent out monthly. I can also generate statements at the patients request if needed for a Health Savings Account etc…
Patients are free to call with any questions regarding their account or insurance coverage. I am here to help and want to make sure that patients are maximizing their benefits and keeping their amount due to a minimum.
Past Due Accounts and Unresolved Claims
Handling overdue patient accounts or claims from dates prior to account start date will be separate from the regular billing agreement. Overdue accounts take more time and are harder to get paid.
I will send Collection letters out on overdue accounts at your discretion upon your approval.
All information obtained is only used for the purpose intended and is kept secure and private. I will provide you with a Business Associate Agreement (Privacy Agreement for Personal Health Information). Upon your request for your files.
Monthly Reports to Provider
Aging reports on a monthly basis can be sent to the provider at their request.
Posting Insurance Payments, Cash Payments, and Adjustments
All checks will come directly to you. The insurance voucher is then forwarded to us by fax or email (payment or rejections) We then will study the Explanation of Benefits (voucher) to make sure the correct payment has been made. The payments are then entered into the appropriate accounts and sent to the secondary payer if applicable. If there is an error in payment we will investigate immediately to obtain a correction or explanation..
Handling the physicians entire billing cycle, payment posting, insurance eligibility and authorizations the entire revenue cycle from start to finish.
We are also offering to train front office staff in a professional manner so that they are compliant with the rules and regulations on how to manage the front office duties
We also offer services managing their office.