Dedicated Account Management
With one-on-one attention from an account manager assigned to your practice, you’ll have support from a revenue cycle management specialist who’s familiar with your business and available at your convenience via phone, email or online. All of our account managers are well versed in electronic data interchange (EDI) processes and in ensuring 100% HIPAA compliance across all transactions. In addition, several of our account managers are certified medical coders who are adept at making sure your claims are processed correctly and reimbursed quickly.
We take patient security and privacy seriously. That’s why we continuously train and monitor our revenue cycle management specialists to make sure they are complying with current HIPAA rules. To further minimize security risks, we use your practice management system to prepare and transmit claims, post payments and run necessary reports.
Our certified coders have extensive experience in all healthcare specialties, such ambulatory surgery centers (ASC), chiropractic, durable medical equipment (DME), neurology, neurosurgery, optometry, ophthalmology, pain management, radiology and more. They’re well versed in CPT and ICD-10 coding, billing with code modifiers, electronic data interchange (EDI) processes, industry standards and maintaining 100% HIPAA compliance. We will bill the best way possible, adhering to strict coding and audit guidelines.
Insurance Payment Posting
We post payments directly into your practice management system daily, so your accounts are accurate and up-to-date at all times.
We file all insurance claims marked for submission and verify receipt of claims with insurance companies. Once we file claims electronically, most of our practices see insurance payments in less than two weeks instead of the 3 to 4 weeks that top commercial payers take.
Unpaid Claims and EOB Analysis
We analyze unpaid claims and EOBs to correct and reprocess rejected claims to recover the amount due.
Fee Schedule Analysis
We analyze your fee schedule to help you make pricing decisions that will maximize your insurance payments.
Reporting and Business Analysis
Your revenue cycle management specialist will provide you with weekly activity and financial reports so you’ll have insight into your accounts receivable status and benchmarking data.