Since each practice is unique, we customize our services to meet your individual needs. Our focus is to optimize the revenue cycle process from complete charge capture through accounts receivable closure. We often have the ability to remotely access your data, which has a positive impact on days in A/R and allows your staff to focus on other responsibilities.   Work teams are client-specific and interact directly with the client’s staff to maximize our Best Practices approach. Our Operations department monitors daily production and audits for accuracy. The following services are available as needed:
 
  • A dedicated team is assigned to each client
  • All demographic information is obtained from the practice and entered into the practice management system
  • Eligibility verification ability for selected payers
  • ICD 9 Coding
  • All CPT data is entered from client specific charge master
  • Electronic claims are submitted daily
  • Carrier edits and confirmation reports are closely monitored
  • Primary and Secondary paper claims are submitted daily
  • Payments are posted daily and EOBs are audited for correct reimbursement
  • Denials are posted and tracked by payer and CPT
  • Appeals are made upon receipt of incorrect payment or denial 
  • Daily bank deposits are made to client’s account
  • Patient statements are sent out on a weekly basis
  • Daily, weekly, and monthly A/R reconciliation
  • Month end reports are generated including trending data
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