Your account will be assigned a dedicated Account Manager to serve as your main point of contact. You will have regularly scheduled calls with your Account Manager and receive monthly performance reports.
Rejection Analysis and Resolution
All rejections are worked by our expert billers and submitted within 48 hours. Our team has in-depth knowledge on all rejections and works very closely with clearinghouse and insurance companies.
Medical Coding, Includes Review & Compliance Testing (optional)
For an additional fee, our team of certified medical coders review clinical notes and code in the correct ICD10 and CPT codes. We also work closely with practices to meet required compliances on their clinical documentation. Our team has knowledge in multiple specialties and decades of experience.
Our Business Intelligence tools give you up-to-date reports on your practice’s performance and ensure you understand how to better optimize your medical billing
We handle all levels of appeals with insurances (federal, commercial, workers comp and auto insurance claims).
Our billing team reviews claims before submission to reduce denial rates and increase the percentage of claims paid on first submission.
Accounts Receivable Management
Our billing experts follow up with insurances and make sure the practice is getting paid on all valid claims. The strategy is to follow up with insurances based on their processing time rather than the traditional age of claim method. This helps to recover money faster from insurance companies.
Denial Analysis and Resolution
We address all denials from insurance companies within 48 hours. Our team is very experienced in working on denials in various numerous specialties. To increase the first time payment rate, we constantly monitor the denial trends and educate practices on making necessary changes in their workflow to reduce insurance denials.
Service Level Agreement
We make sure you maximize your profits and are paid more in the long run. After you submit a claim, our expert billers ensure your claim reaches the payer without any delay. For claims that are denied, we immediately correct any issues and resend the claim within 48 hours.
Patient Statements & Follow-up
Statements are sent at the beginning of each month to patients. We believe in sending monthly statements to prompt faster recovery of cash. We contact the patients after sending statements to offer payment plans (per the practice guidelines) and can collect credit card payments over the phone or online.