SERVICES

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Communication and Accuracy - That’s what we’re here for. Health Insurance can be overwhelming – but we’re here to help. Whether you’re looking to outsource billing or keep it in-house, we understand the unique needs of your clinic.

As owners ourselves, we offer flexible services that empower you to make the best decision for your practice. Our individualized solutions are designed to support you at every step, ensuring your billing is efficient and effective, no matter your preference.

FULL BILLING SERVICES

Navigating the complexities and ever-changing policies of General Health Insurance stressing you out? We got you. What about your PI Claims? We can help with those too.

We go beyond just processing claims; we dive deep into pre-reviewing claims and system setup to ensure you get the payments you deserve as quickly as possible.

After reviewing, we send billing, apply claims, work all denials or rejections, track and follow up on AR and non-payments, and more!

Our service and pricing models flex to fit your size and pace, so you get the support that makes sense for your practice - and stay focused on caring for your patients.

Account Auditing

We'll conduct a comprehensive review of your EHR Setup, Clearing House setup, internal processes and overall billing functions.

We complete this audit during your onboarding phase and periodically throughout the year.

This full report will verify that billing activities and billing procedures are being executed correctly and, if not, processes will be established with the office to make things smoother going forward.

We go beyond just identifying problems; we'll also complete the actionable recommendations to address any issues we find.

Whether it's improving your process for claim submissions, enhancing your follow-up strategies, or ensuring all documentation is up to standard, our goal is to streamline your billing operations, reduce errors, and maximize your revenue.

Reporting

Insurance Accounts Receivable Reporting: We'll meticulously compile detailed reporting that pinpoints every single unpaid claim. But we don't stop there. Our team will then dive into each case, performing thorough follow-ups to resolve these issues. We're talking about going the extra mile to ensure every claim is accounted for and resolved. We follow up on 100% of claims, ensuring your clinic's financial health is in top shape.

Monthly Reporting: We provide detailed monthly reporting of insurance postings that you can easily cross-compare with your bank account and EHR Software reports.

Clearing House Set-Up

We streamline your enrollment with Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), and Electronic Data Interchange (EDI) to ensure your payments and claim data flow seamlessly. This will help you get paid faster by insurance and allow for the most accurate, up to date patient ledgers.

Fee Schedule Integration

We'll dive into the research needed to understand the fee schedules for each of your contracted insurance companies.

Once we've gathered this information, we'll work to integrate these fee schedules directly into your clinic's software, provided it supports this feature.

But we don't stop there; we'll also create and provide you with a detailed, organized chart that clearly outlines the allowed amounts for each requested insurance company.

This chart will serve as your go-to resource for quick reference, ensuring you bill correctly and efficiently, saving you time and reducing the risk of claim denials.

Software Training

We offer personalized Software Training.

If you have questions or run into issues with your software, you can directly chat with your dedicated Billing Specialists.

They're here to help demystify these processes, answer your queries, and work through any problems you encounter with your software.

Whether it's understanding how to chart correctly, optimizing your coding for better claim acceptance, or creating processes and flows with your staff, our specialists will guide you step-by-step to resolve these issues, making your daily workflow smoother and more efficient.

Patient Invoicing

Whether it’s printing and mailing a patient bill or sending an e-invoice, we offer services to invoice your patients for you so you don’t have to worry about it!

Full billing client?

Let us share our process and systems with you so your staff can utilize our great tools in your office, too!

AS NEEDED SERVICES

There’s a time and place for a billing company, just like there’s a time and place for an in house biller. As owners ourselves, we want to empower clinics to be aware of their billing situations when outsourcing and be a resource when keeping billing internal. That’s why we offer individual services beyond Full Billing options, catered to fit your clinic needs.

Account Auditing

We'll conduct a comprehensive review of your EHR Setup, Clearing House setup, internal processes and overall billing functions.

This full report will verify that clean-up activities and billing procedures are being executed correctly.

We go beyond just identifying problems; we'll also provide actionable recommendations to address any issues we find.

Whether it's improving your process for claim submissions, enhancing your follow-up strategies, or ensuring all documentation is up to standard, our goal is to streamline your billing operations, reduce errors, and maximize your revenue.

Account Cleanup

We'll meticulously compile detailed reporting that pinpoints every single unpaid claim. But we don't stop there.

Our team will then dive into each case, performing thorough follow-ups to resolve these issues.

We're talking about going the extra mile to ensure every claim is accounted for and resolved, so you don't have to.

This process isn't just about cleaning up; it's about reclaiming what's rightfully yours, ensuring your clinic's financial health is in top shape.

Clearing House Set-Up

We streamline your enrollment with Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), and Electronic Data Interchange (EDI) to ensure your payments and claim data flow seamlessly.

This will help you get paid faster by insurance and allow for the most accurate, up to date patient ledgers.

Fee Schedule Integration

We'll dive into the research needed to understand the fee schedules for each of your contracted insurance companies.

Once we've gathered this information, we'll work to integrate these fee schedules directly into your clinic's software, provided it supports this feature.

But we don't stop there; we'll also create and provide you with a detailed, organized chart that clearly outlines the allowed amounts for each requested insurance company.

This chart will serve as your go-to resource for quick reference, ensuring you bill correctly and efficiently, saving you time and reducing the risk of claim denials.

Software Training

We offer personalized Software Training.

If you have questions or run into issues with your software, you can directly chat with one of our experienced Billing Specialists.

They're here to help demystify these processes, answer your queries, and work through any problems you encounter with your software.

Whether it's understanding how to chart correctly, optimizing your coding for better claim acceptance, or creating processes and flows with your staff, our specialists will guide you step-by-step to resolve these issues, making your daily workflow smoother and more efficient.

Consulting with a Specialist

We know that sometimes you just need a direct line to someone who understands the ins and outs of medical billing.

That's why our Consulting with a Billing Specialist service is here for you.

If you're stuck on a billing issue, or if you have specific questions about your billing practices, you can speak directly with one of our knowledgeable Billing Specialists.

They're ready to provide you with personalized advice, tackle your unique billing challenges, and get you back on track.

Whether it's a complex claim, a puzzling insurance policy, or just general billing advice, our specialists are here to make sure your questions don't go unanswered.

Patient Invoicing

Patient Invoicing or the sending of patient bills/statements is a service that is strictly for full billing clients, but that doesn’t mean we can’t share our tips, tools and best practice with your office!

Whether it’s printing and mailing a patient bill or sending an e-invoice, we offer training and best practices on how to invoice your patients in the most accurate way - avoiding sending inaccurate bills to patients and prevent upset patients.

Credentialing

Credentialing with Insurance Companies: We offer minor Credentialing services to take on the burden of getting you recognized by insurance providers off your plate, ensuring your clinic is properly listed and your services are covered. This means less hassle for you and fewer headaches when it comes to getting paid for your hard work.

Fixing Credentialing Issues with Insurance Companies: We tackle any snags in your credentialing process head-on. Whether it's outdated addresses, name changes due to business evolution, or adding new associates, we ensure everything is up to date.

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