The Billing Department is an area of your practice that would benefit greatly by outsourcing.
Medicare and the Insurance Companies you contract with are constantly modifying the rules, regulations, and guidelines regarding claim submission and how to obtain payment.
Some of the most common changes are related to:
- Proper levels of E&M Coding
- CCI Edits
- Global Surgery Days
- Timely Filing
- Proper Documentation
- Modifier Required
- Proper use of ICD-9 & CPT codes
- No Pre-Certification on file
- Specialty Referral
Hopefully your staff is constantly monitoring these changes to minimize audit risk, maximize revenue, and decrease the amount of claim denials.
Unfortunately, our experience dictates the
following scenario is more common:
- Your office staff is more likely to write-off denied claims
or bill the patient because they don't know what to do
and have no incentive to aggressively pursue payment.
The end result is:
Our Experience and Expertise, combined with proven practices following each and every claim from the Point of Service to Final Payment, achieves successful management of your Accounts Receivable.