Services Included:
Services Included:
Services Included:
Our Schedule Preparation service involves a thorough review of the next day’s scheduled patients. We check for any issues related to insurance eligibility, coverage, and patient balances. If any discrepancies or concerns arise, we promptly notify the provider to ensure everything is in order before the appointment. This proactive approach helps prevent disruptions, ensures smooth patient visits, and reduces the likelihood of claim denials due to eligibility or balance issues. With our schedule preparation, you can focus on patient care while we handle the details.
Our Claim Submission service ensures that every claim is accurately prepared and submitted. We thoroughly scrub claims for coding errors, check for necessary modifiers, and ensure compliance with payer-specific requirements before submission. This process reduces the likelihood of claim denials and ensures that your claims are clean, accurate, and submitted on time. By handling these details, we help maximize reimbursement and streamline your revenue cycle, so you get paid faster and with fewer issues.
We meticulously record and post all payments received from insurance companies and patients. By accurately applying payments to the correct accounts and services, we help maintain precise financial records and provide you with clear insights into your revenue streams.
Accurate medical coding is critical for proper reimbursement. Our coding experts assist with assigning the correct CPT, ICD-10, and HCPCS codes to your services, reducing the risk of claim denials due to coding errors and ensuring compliance with payer guidelines.
Managing accounts receivable is essential for maintaining cash flow. We monitor outstanding claims and patient balances, conduct timely follow-ups with insurance companies, and implement effective strategies to reduce aged receivables and improve collection rates.
Denied or rejected claims can significantly impact your revenue. Our denial management services involve identifying the reasons for denials, correcting errors, and resubmitting claims promptly. We work diligently to resolve issues and recover revenue that might otherwise be lost.
Clear communication with patients about their financial responsibilities enhances satisfaction and facilitates timely payments. We generate and distribute detailed patient statements that outline charges, payments, and any remaining balances, making it easier for patients to understand and settle their accounts.
We manage patient and insurance credits, ensuring that any overpayments are identified and addressed appropriately. This includes processing refunds when necessary and applying credits to outstanding balances, maintaining accurate financial records and patient satisfaction.
For overdue patient accounts, we offer patient collection services that are respectful and compliant with all regulations. Our approach aims to recover outstanding balances while maintaining positive patient relationships.
Gain valuable insights into your practice's financial performance with our basic reporting services. We provide regular reports that cover key metrics such as charges, payments, adjustments, and account balances, helping you make informed business decisions.
We manage the secure processing of patient payments, including handling credit card transactions and other payment methods. Our system ensures that patient payments are processed efficiently and accurately, reducing delays and making it easy for your practice to collect outstanding balances. We provide clear payment options to patients, helping streamline their payment experience and ensuring that funds are deposited promptly into your accounts.
Fill out our comprehensive onboarding form, which gathers essential information about your practice, services, and billing preferences.
Review and sign our service agreement, outlining the scope of services and terms of your chosen billing package.
Submit copies of all current insurance contracts so we can ensure proper credentialing and claim submission for each payer.
Share your EHR system login details, enabling us to integrate seamlessly into your workflow and manage billing directly from your platform.
Approve our request to add your practice to our Availity account for easier claim submission and payer communication.
If you have an office manual, provide it so we can align our processes with your practice’s policies and procedures.
Start by filling out our comprehensive onboarding form with essential details about your practice, specialties, and target insurance panels.
Once the form is submitted, review and sign the contract outlining the scope of our credentialing services, timelines, and expectations.
Provide us with copies of your professional licenses, malpractice insurance, W-9, and other necessary documentation for payer contracting.
Share the insurance networks you are interested in joining, or allow us to recommend optimal payers based on your location and practice type.
Grant us access to your HCPF, PECOS, and CAQH accounts to streamline the credentialing process with various payers and Medicare.
If relevant, grant us temporary access to your Electronic Health Records (EHR) system for seamless credentialing and payer setup.
Approve our request to add your practice to Availity for faster credentialing and claims management with payers.
After all documents and logins are submitted, we will provide a detailed timeline of the credentialing process for each payer.
We’ll keep you informed of progress and address any payer inquiries or additional requests during the credentialing process.
Once credentialing is finalized, we will notify you and provide next steps for billing and claims submission.
