Full Service Medical Billing
Services
"The secret to getting ahead is getting started"
- Mark Twain
1. Standard Billing
01
Benefits Checks & Price Estimates
Insurance verification and patient price estimate of put-of-pocket expense within 3 business days.
Estimates are compliant with the 'No Surprises Act' (45 CFR 149.610).
03
Claims Follow Up
We follow up with payers to ensure claims processing is complete and correct.
05
Patient Billing & Correspondence
We send HIPAA compliant patient statements/invoices by mail, email, and text (SMS). Patients are welcome to contact us to review the details.
07
Reporting & Analytics
We send monthly reports to show charges billed, payments received, aging, and a detailed report showing pending claims.
02
Insurance Billing
We bill commercial, medicare, medicaid, and EAP payers, using both electronic and paper claims, according to the payer's requirements.
04
Denials Management
We monitor claims, investigate denials, and rework/resubmit payable charges.
06
ERA/EFT Enrollment
We enroll providers to receive payments by electronic funds transfer whenever available for a faster and more consistent cash flow.
08
Scheduling & Appointments
You have access to appointment scheduling online in one integrated software.
2. Enrollment
01
Credentialing
We follow up with payers to ensure that they have what's needed to process your application as quickly as possible.
03
Contracting
When your contract is countersigned, we send you a copy, along with all pertinent details, addendums, and attachments so you have all the details you need.
02
Status Updates
We send a monthly spreadsheet showing you the enrollment projects in process, and notes about the status and follow up correspondence.
04
Portal Registrations
When a payer requires registration with their portal online, you will be given full access.
3. Maintenance
01
Recredentialing
Recredentialing is required every 3-5 years depending on the payer. We proactively reach out to payers 30-60 days before your recredentialing deadline to ensure they have what they need, so that your network participation is not interrupted.
02
Demographic Validation
Providers are required to validate demographics with contracted payers at least every 90 days. We can take this task off your list and off your mind.