CONFIDENT CLAIMS PROCESSING
Navigating payer and regulatory requirements is a daunting task, we know – we do it all day long. That’s why smart sourcing your billing to us is important. We pride ourselves on proactively engaging insurance carriers before an issue becomes a problem. We have technology to ensure the claims we send on your behalf are scrubbed for any errors before they make it to the payer resulting in a 95% clean claim rate.
Claim Solutions
We’re billing your claims within 24 hours of receipt – and sometimes even within minutes of you treating your patient. How do we do this? Technology. We interface with over 200 Electronic Medical Records systems – you sign off on a note, and the charges are electronically sent to us.
And before that claim is sent – it’s clean. We have state of the art claims scrubbing processes that ensures the claims submitted are error free. We have a rules engine that allows us to manually review any claim that meets required criteria – such as specific modifiers, specific CPT codes and other coding related errors.
Patient Engagement
Today’s deductibles are insane. We know this, you know this, and the patients know this. Working with your patients on their balances is now, more than ever, a crucial point in your practice. Sending patient statements will only get you so far. This is why our team works for your practice – we work with your patients to decrease your patient A/R while keeping your patients happy. Losing a patient because they are unable to pay their entire bill is not acceptable. We’ll work with them on payment arrangements.
Accounts Receivable
Accounts Receivable management has become exceptionally complicated. We have comprehensive procedures in place to minimize reimbursement issues and accelerate your revenue stream. We don’t just call on claims after 30, 60 or 90 days – we create a workflow structure individually based on your insurance contracts. If there’s a problem, we’re going to let you know about it. We analyze claim denials, and communicate with your office to lower your denial risk.
Motivation
We’re not just your billing company. We’re your business partner. That’s why our fee structure is built around an incentivised fee structure based on a percentage of revenue. When you get paid, we get paid – and we have the policies in place to ensure that happens.