Medical Management
Medical Billing Services- Typical services include:
- Help develop and organize the information-flow in the office with a check, balance and audit system.
- Daily Schedule – we review your daily patient schedule highlighted outstanding balance and verify co-pays.
- Primary Insurance – Services performed by the healthcare provider are entered and billed daily. All claims that can go electronic will go electronic. Claims that need to go via paper are submitted with appropriate documentation when necessary.
- Secondary Insurance – Secondary insurance is automatically billed once primary insurance has paid.
- Posting of Payments – All insurance and private payments with their associated adjustments are posted daily, verifying contract allowable.
- Appeals/Rejections/Denials – Appeal letters are sent out and followed up by phone calls as needed to request/demand accurate processing of an inaccurate reimbursement.
- Management Reporting – We offers a range of management report.
- Patient Statement – Monthly statements are sent to all patients with outstanding balances, once insurance has met its responsibility.
- Private Pay Accounts – Phone call will be made to establish the account if we don’t receive payment within an acceptable amount of time. Accounts are monitored monthly to insure response from the financially responsible party is made.
- Month End Receivable Report – We track all slow paying or lost claims by on line communications or calling insurance companies.
- We will work jointly with you to establish an acceptable administrative policy to effectively control the information flow between the offices. Our priority is to insure all patients and insurance companies are accurately billed and payment is collected within the acceptable time frame.