Core Services

• Complete claims filing to insurance carriers (electronic when possible)

• Complete Claims follow-up consisting of: review of all outstanding claims greater than 45 days old, phone call / additional claim filed for any un-responded claims, denial reduction management and claims re-file (when appropriate), and denial resolution and / or appeals

• Coding input and assistance when claims are denied (e.g., CPT code is missing the appropriate modifier)

• Comprehensive patient billing services, including: answering all patient billing questions, patient account statement preparation and mailing, outstanding patient balance follow-up, repeat patient statements, patient reminder phone calls and notices (when appropriate), and coordination with a licensed outside collection agency for delinquent account balances, upon request and formal approval by practice.

• Initial and annual fee review, analysis, and recommendations

• Initial encounter form creation and annual revisions

• Standard Patient Statements and Reports.

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