Services

Administrative Services

Administrative Services

Administrative Services

Quality Auditing of all services provided
Comprehensive reporting on a monthly basis
Trend analysis performed continuously, identifying items impacting the aging
Communication and feedback provided directly to providers and practice administrators
Conference calls and face to face meetings held routinely

AR Recovery

Administrative Services

Administrative Services

Review of & timely action/resolution on all correspondence received
Communication of practice/provider specific information and front-end concerns identified
Accurate and timely denials management
Detailed reporting
Routine trend analysis with timely feedback gives customers a reason to do business with you

Charge Entry

Administrative Services

Charge Entry

Use of knowledge driven decision making respective to modifiers and DX linkage
Comprehensive understanding of the Global Surgical Package, Medical Necessity and Bundling as well as the impact these components have on coding, front end protocol, and A/R Recovery efforts
Comprehensive claim submission
Management, resolution, and re-submission

Use of knowledge driven decision making respective to modifiers and DX linkage
Comprehensive understanding of the Global Surgical Package, Medical Necessity and Bundling as well as the impact these components have on coding, front end protocol, and A/R Recovery efforts
Comprehensive claim submission
Management, resolution, and re-submission of PMS rejections
Management, resolution, and re-submission of Clearing House rejections

Coding

Patient Services

Charge Entry

Top tier coding experts held to the highest levels of accuracy
Coding quality audits on client accounts
Coding updates and changes
Consulting and feedback for the most appropriate and highest compensation possible
Communication and feedback directly from our coding team to your practice administrators and providers
Detailed and accurate responses to provider inquiries

Patient Services

Patient Services

Patient Services

Professional demeanor focused on patient retention
Receive, mitigate and resolve patient inquires
Communication of important patient inquiry information back to practice management
Log, manage, and archive all inquiries for reference and historical data purposes
Adaptable around current statement submission protocol or can advise and imple

Professional demeanor focused on patient retention
Receive, mitigate and resolve patient inquires
Communication of important patient inquiry information back to practice management
Log, manage, and archive all inquiries for reference and historical data purposes
Adaptable around current statement submission protocol or can advise and implement an optimized system dependent only on your systems limitations

Payment Posting

Patient Services

Patient Services

Line item Payment posting that includes COB detail for every line for each claim
Accurate retrieval, posting, and balancing of all deposits received including: ERA importing, lockbox remittance, credit card payments, zero payments, and manual deposits
Review, consolidation, and balancing of all deposits received
Management of all remittance

Line item Payment posting that includes COB detail for every line for each claim
Accurate retrieval, posting, and balancing of all deposits received including: ERA importing, lockbox remittance, credit card payments, zero payments, and manual deposits
Review, consolidation, and balancing of all deposits received
Management of all remittance via daily tracking Logs ensuring all payments are recognized, obtained, posted and reconciled