Frequently Asked Questions

Some practices prefer to keep some of their functions in-house, such as patient registration and charge entry. This allow us to reduce our labor and offer a lower percentage rate to our clients. Depending upon the specific needs of your practice, our services include but are not limited to the following:

• CPT Coding review and fee schedule analysis
• Input of patient demographics, referral information and authorization numbers
• Posting and balancing of daily charges and co-payments
• Charge & appointment reconciliation to ensure all charges are captured
• Submission and verification of electronic claims
• Editing of electronic claim denials for resubmission
• Posting and balancing of all payments received
• Handling appeals for denial resolution
• Generating electronic patient statements and collection letters
• Working the aged accounts receivable reports to follow-up on past due claims
• Production of monthly financial reports for managerial review
• Quarterly consulting to discuss practice financials and software updates with an Account Service Manager

• Eliminate postage and forms purchasing expenses
• Reduce billing related staffing expenses
• Consistent cash flow due to timely and accurate claim submissions
• Faster reimbursements due to electronic claims filing
• Complete confidentiality and security of your patient data
• Personalized and comprehensive support for your staff and patients
• Billing inquiries are handled by a dedicated Patient Accounts Manager
• Eliminate costly software maintenance fees and patient portal fees
• Free up valuable staff time to focus on patient care
• We serve as an experienced advisor regarding all billing concerns and act as a liaison to the insurance companies on your behalf

• We provide you with transaction reports on a schedule basis or upon request. Additionally, we schedule regular monthly, quarterly meetings with a dedicated Account Services Manager to personally go over your reports and assess your accounts receivables.

• For clients not using our EMR, we need a superbill indicating CPT and ICD-10 codes
• For clients not entering their own patient information, we need a copy of their registration form
• For clients not scanning the insurance card into the software, we need a copy of the card
• Referral / Authorization information (if applicable)

• Normally, the checks continue to be mailed to your office. The following items are needed for payment posting and insurance appeals:
• Most Insurance EOBs will come to us electronically for processing
• Paper Insurance EOB’s (We provide a scanner for sending paper EOBs)
• Copies of patient checks unless these are being posted in-house
• Any other billing related correspondence (denial EOB’s, etc.)