Patient Registration • Manual key entry. • Electronic file transfer. Claim Edit Checks • Electronic edit check of claims to assure data integrity. • Manual validation of every service prior to claim generation. Claim Generation • Medicare, Medicaid, and local HMO's billed electronically on a daily basis. • 650+ insurances billed electronically via WEB MD on a daily basis. • Patient statements billed daily via print mail company. Payment Posting • Performed within 48 hours (2 business days). • Electronic posting - Medicare, IHA. • Manual posting / Payment validation. • Balanced daily to lockbox. • Re-billing of balances performed at time of posting. • Fee schedules from each payor used to validate payments. Accounts Receivable Management • Follow up on all outstanding balances. • Detailed aging reports that are easy to read and user friendly. • Daily generation of billing reports. Patient Inquires • Telephone representatives are available 16 hours a day to address patient questions. Management Reporting • We offer a wide variety of monthly and ad-hoc reports sorted by: • Location • Physician • Insurance • Referring physician • Procedure code (CPT) • Diagnosis (ICD-9)
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