How It Works

Helping Your Staff Achieve Success

Our belief is that building a team approach with your front office & our billing staff will lead to long-term success and a healthy partnership with your practice. We will train your staff on proper demographics entry, document submission, and give constructive feedback on office workflow based on detailed system analysis. Our professional billing team will work closely with your front office to ensure claims go out quickly and cleanly.

If your practice is not currently using an interfaced EHR, your staff will be responsible for daily scanning all required documentation for charge entry and payment posting, which includes: encounter forms, deposit slips and EOBs. We include a HIPAA-compliant document management portal for scanning and tracking all required billing data.

Efficient Medical Claims Processing

We understand that filing insurance claims in a timely manner is the key to maintaining a steady cash flow. Claims are submitted electronically, either exported from your facility in an electronic format or imported from your EHR system. Billing is processed within 1 business day or as quickly as 2 hours from the patient visit, if you are using one of our interfaced EHR platforms for charge submission.

Our billing team uses payer-integrated management software to reduce denials & limit rejections. Prior to a patient's visit, your front office will check patient eligibility within our system to avoid claim rejection. At our satellite office, we will review billing code usage & scrub claims for CCI Edits prior to submission. Within 24 hours, we receive electronic insurance correspondence from the appropriate payers.

Patient Collections

Once insurance has paid and our staff has posted payment, we will follow-up with patient responsibility (if applicable) through weekly statements and courtesy phone calls. All statements include our toll-free number for patients calling in with related billing questions and payment information. Our operators follow strict rules with disclosing patient information in accordance with HIPAA guidelines.
We also work with your existing policies regarding patient payments and discounts (as necessary) to ensure we collect remaining balances from patients according to your desires and expectations.

Accounts Receivable

Did you know the national average of denied claims rate is 30%? Did you know of that 30% only 50% of those claims are resubmitted? We have a dedicated team following up on pending claims, initiating collections, find out reasons for denials of claims and track outstanding receivable balances. We make your receivables turn into cash.

Are you Getting Paid?

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