Services

We will consult on all processes related to clinic start up, insurance contracting, documentation, billing, and collections.

Would your practice pass an audit?  We consult on clinical requirements for HIPAA, OIG, and payer compliance (including Medicare and Medicaid).

Prompt eligibility and verification minimizes questions at the time of service, we provide pre-appointment and post-appointment verifications.

All claims that can be submitted electronically are submitted within 24 hours in the standard electronic format.  Any claims that require a paper HCFA1500 submission are completed within 24-48 hours and submitted to the payer for consideration.

As needed, we will facilitate the pre-authorization process between insurance payer and you, the provider, to minimize time spent obtaining authorizations.

Following electronic submission, we will continue to track claims through determination, including resubmissions.

Convenient, easy to read monthly invoicing to your clients so that your accounts stay current and confusion is minimized.

Payment plans are occasionally necessary, we will work to coordinate those efforts with your clients and maintain records of compliance.

In the event an account may need further collection efforts, we can refer those accounts to a third party collection agency.

We provide responsive, timely follow up to client inquires both online and via phone.

Authorization or claims denials cost time and money. We will work to appeal any negative decisions to obtain proper determination and payment for services.

We take the time and guesswork out of contracting & credentialing paperwork.  We provide a checklist of information we need and take care of the completion and follow up.

We will complete all paperwork and follow up to keep your payer contracts current and active.

If you make changes to your Clinic's Name, Address, Tax ID, NPI keep in mind payers need to be notified.  We will complete the paperwork and update all claims as those changes are processed.

Creation of customized forms and documents for your practice to meet business and compliance needs.