 |
 |
|
| Services
Offered |
 |
HCFA/CMS 1500
and Facility UB92 Claims Processing |
|
Coding Assistance (CPT,
ICD-9 and HCPCS) |
|
Patient Demographics
Entry |
|
Charge Entry - All
Specialties |
|
Payment Posting (Manual
and Electronic) |
|
Payment Reconciliation
|
|
Denial/Rejections Analysis
and Resubmission of Claims |
|
Continuous Accounts
Receivable Follow-up |
|
AR Reports |
|
Collection Agency Reporting
- as defined by client |
| |
| Coding
Services |
|
Our Medical Coders
are seasoned and trained professionals with a minimum of 10
years hands-on
experience. |
|
Assistance with CPT,
IDC-9 and HCPCS coding |
|
Insurance, as well as other
third party and regulatory requirements are strictly respected
and adhered to |
|
Payor-specific coding
requirements |
| |
| Demographics
and Charge Entry |
|
Our staff has the ability
to work on scanned images as well as electronically submitted
demographic
and insurance information. |
|
We process charges
for all specialties according to client specific, as well as
regulatory agency or
other third party specific rules. |
|
We perform internal
Quality Assurance at different levels to provide submission of high quality
or "clean claims”. |
| |
| Payment
Posting |
|
Payments reconciled
daily |
|
Specific payment reporting
such as no pay or low pay reports sent to client as requested |
|
Denials are worked
immediately and secondary claim reports generated automatically
|
| |
| Claims
Follow up |
|
Last, but not least,
we believe follow up is the most important aspect of claim processing
as well as, from past experience, the most difficult area medical practices are constantly
struggling to manage. |
|
Our goal is to improve
our client's cash flow by reducing personnel costs, reducing
days in A/R and
improving profitability. |
| |
