Why let lagging payments and frustration with inurance requirements deprive you of your hard-earned time and money?
Our SureCollect Claims Management System delivers the integrated solution that's so successful in collecting every dollar owed you - and on time.
The SureCollect System starts with our experts in billing and credentialing. Our experienced, in-house staff has a track record of billing accuracy. We're continuously on alert for changes in coding rules. Any alterations are seemlessly incorporated into our billing systems as they occur.
Our System guarantees electronic claim filing to all insurance companies at least 4 times per week, filing direct to the largest payers. The result is outstanding cash flow for our clients.
Rigorous claim tracking and follow-up is vital to our System. Our technology and our billing experts ensure that claims meet all insurance coding requirements and filing deadlines. Claims never fall through the cracks!
BILLING/SCOPE OF SERVICES:
Collection Policies
We work with your practice to develop/revise a and adopt a set of financial policies relating to co-pay collections, trigger-points for escalating collection efforts and write-off guidelines.
Fee Schedule Analysis
We conduct an initial practice fee schedule and provide periodic reviews. We input your fee schedule into the practice management system.
Coding Analysis
Review of physician codes (random spot checks) is an available service to be provided on an "as-needed" basis. Current coding practices will be reviewed and compared to documentation; regular reporting of code distribution against regulatory norms; discussion with physicians to correct specific coding errors or recurring patterns.
Claims Entry
We collect patient billing information via paper superbill or EHR or through or FTP site. We implement scanning and process document entry into Laser Fiche document imaging system and verify accuracy. We then transfer information into our Med/FM billing software.
Claims Filing
Electronic claims are submitted to payers; we submit paper claims or statement billing when required. We collect additional documentation from practice as required for claims requiring supporting documentation. We file secondary claims as required.
Payer Payment Follow-up
We follow-up with payers on all denied claims to determine the cause of denials. When appropriate we correct and re-submit. Again, we follow-up to ensure timely payment.
Payment Analysis
We spot check payments to ensure that payments are in accordance with agreed upon terms of the managed care contract.
Patient Payment Follow-up
We generate patient statements and follow-up on all unpaid balances. Our staff triggers escalation of collection efforts according to practice financial policies.
In-House Collections
Patients receive two statements and a pre-collect or final notice.
Contracted Collection Agency
If there is no response to the statements and final notice, the practice will determine if the patient should be sent to the external collection agency or if the balance should be written off. Medical Billing Services has a long-standing relationship with one of the Midwest's leading collection agencies. If desired by the practice, Medical Billing Services will transition delinquent patient accounts with supporting documentation to the collection agency/attorney.
Payment Posting
All payments are logged into our accounting department and documentation is immediately scanned into our data imaging system for posting to the patient accounts. We always reconcile total daily receipts against payment log-in documentation and and against payments posted to patient account balances.
Payer Management
Work with payers on behalf of the practice to deal with overall issues related to denials, slow payments and incorrect payments.
Cash Management
Make deposits directly into the practice bank account.
Refund Processing
Implement refund process to third party payers and patients on an as-needed basis.
Reporting
Comprehensive reports are available at the end of every month. All practices have different reporting needs and this service is customized to meet the requirements of each client.
Provider Credentialing
Medical Billing Services will process credentialing paperwork with contracted care plans; follow-up with payers to expedite credentialing; maintain credentialing as needed.
"You Practice Medicine...We'll Do the Rest."
CONTACT US TODAY TO LEARN HOW WE CAN HELP YOU!
Call or send an Email to Randy Schwager
