| ± |
Communication
with you and your staff to acquire quality data necessary to
produce "clean claims", enabling the fastest
payment possible from health insurance carriers |
| ± |
Seamless
transition to our services |
| ± |
Facility data
base set up |
| ± |
Server set up,
maintenance and support |
| ± |
Electronic Data
Interface (EDI) enrollment for direct transmission to health
insurance carriers and or clearing house utilizing up to
date carrier and state specific requirements |
| ± |
Electronic and
paper claims processing for secondary and tertiary claims |
| ± |
Immediate
capture of software upgrades |
| ± |
Worker's
Compensation and Auto/No-Fault claims processing |
| ± |
Negotiations for
"prompt pay" from Worker's Compensation/Auto
No-Fault carriers in states where not prohibited |
| ± |
Web based access
to financial reports, management reports and patients'
account status at any time |
| ± |
Patient
statements, mailing and postage |
| ± |
Negotiation,
arrangement and dunning of budget/installment payments |
| ± |
CPT-4 and
ICD-9/ICD-10 coding analysis following National Correct
Coding Initiative (NCCI) policy and National Coding (NCD)/Local
Coding Directives (LCD) policies |
| ± |
Scheduled,
consistent follow up on all aged claims |
| ± |
Identification
and filing of claims for appeal, coordinating the necessary
documentation required for filing, tracking denial trends
and follow up of appeals in process |
| ± |
File backup and
data storage |
| ± |
Toll free number
for staff and patients' inquiries Inquiries accepted 7 days
a week, 24 hours a day |
