By verifying insurance information prior to claim submission, we reduce the number of denied claims. Our software has the ability to check eligibility for Medicare and most large commercial payors.
Our staff is thoroughly trained in appropriate documentation pertaining to medical necessity guidelines and ICD-10 coding requirements for Medicare, Medicaid and all commercial payors.
Appropriate procedure code utilization is essential for claim payment. Many payors have different procedure code requirements for the same type of service and our system is capable of meeting the various payor needs.
Use the technology that is available with our system. If you are not currently submitting claims electronically, you are unnecessarily delaying reimbursement! Studies have shown that electronic claim submission translates to payments within 15-21 days as opposed to 45-90 days for paper claim submission.
We understand accurate application of payment and adjustment activities are essential to your record-keeping needs. In addition, timely payment/adjustment posting is necessary to expedite supplemental claim submission.
The appeals process can be intimidating to inexperienced billing staff. We have extensive knowledge of the Medicare appeals process which includes Reviews, Fair Hearings, and Administrative Law Judge Hearings. Further remedies are available but needed only in extreme situations.
You have the choice of the billing cycle to be utilized and can custom-define the invoice messages. You also define how many billings are sent prior to final write-off. Lastly, you can choose the appropriate time frame for final write-off and/or agency placement.
