- Medical coding
- Charge capture
- Eligibility verification
- Billing
- Accounts Receivable Management
- Denial Management
- Payment posting
- Underpayments analysis
|
|
|
|
Electronic Submission of Claims
All claims are submitted with specific diagnosis and accurate procedure codes, and modifiers when appropriate, and are sent directly to insurance companies. This system assures timely, accurate billing to all primary insurance carriers within 24 hours of receipt, and automatic billing of secondary and tertiary insurance carriers. Quality assurance is a key ingredient in our success. Managers double check all claims prior to submission to insure thorough and accurate billing. We verify that all claims transmitted electronically were received.
|
|
A/R Management
- Track Receivables for Each Account & Monitor Progress.
- Run Aging Reports for Each Account & Resolve Problem Areas.
- Analyze Monthly Agings & Follow-Up EOBs.
- Solve Minor Credentialing Issues.
- Files Appeals.
- Sets Collection Goals.
- Act as Liaison to Collection Agency.
|
|
