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Billing Collection and Control● Billing Documentation will be scanned in the system
- charge slip - insurance information - patient demographic information - assignment form ● Daily Deposit Journal (DDJ) used to track billing documents for completeness and accuracy Billing and Collection Follow-up ● Detailed statements sent to patient - individualized collection messages
- itemized charges, payments and adjustments - patients balance due - CPT/HCPCS and ICD 9-CM diagnosis codes - " insurance has been filed" message with date ● Cycle billing ensures each patient receives a bill immediately when balance is due ● Automatic follow-up control on all accounts - generate 2 collection letters with phone contact ● Use of a collection agency Data Entry ● Post all transactions: charges, payments and adjustments
● Review and electronically submit all insurance claims and patient statements ● Audit billing documents for proper CPT and ICD-9 codes, modifiers and procedural descriptions ● Rules engine designed to insure accurate submission of claims for 1st pass processing Accounting ● Receipts are balanced and if requested deposited into an authorized banking account or your business account
● All refund checks are issued by your office |
Communication
● Account representatives will be available to assist your staff with questions and training as needed
● Patient calls are promptly and courteously answered by our account representative ● Telephone contact is documented by our account representatives for follow-up ● All overdue accounts are personally contacted ● Patient payment plan arrangements if desired ● Notification of any insurance carrier changes in billing or re-reimbursement procedures relating to your practice ● Monthly meeting with MD to review management reports Insurance Processing and Follow-up ● Generate claims daily for all insurances
● Recommend use of assignment billing for all insurance ● Verify all payments and denials from insurance carriers, including contracted HMO's and PPO's for under-payment or inappropriate denials ● Process all correspondence from insurance companies and patients including insurance appeals ● Trace all unpaid claims promptly to increase payment response time ● Use of electronic claims submission whenever possible Practice Management Service ● Initial practice review and recommendation for optimizing billing flow
● Job descriptions and employee productivity ● Scheduling ● Documentation ( patient demographics, charge slip insurance form, HIPPA Privacy forms) ● Analysis of patient services ● A/R aging ● Fee schedule (maintain practice fee schedule for optimal reimbursement, track payers fee schedule) ● Monthly meeting reviewing A/R and patient reports |
