| |
Today's medical billing demands are very complicated. Not only is accurate coding expected, but proper reconciliation of billing codes with patient diagnosis is required to address HCFA compliance and ensure proper reimbursement. |
|
| |
|
|
|
| |
Comprehensive and Concise : |
|
| |
|
|
|
| |
|
Chart audits performed by a certified procedural coder, with review for accuracy of documentation in support of CPT and ICD-9 coding. Each review includes a follow-up meeting with the physician to discuss and highlight the findings of the audit. |
|
| |
|
|
|
| |
|
Collection, review, and verification of data that is then entered into a comprehensive, computerized billing system. |
|
| |
|
|
|
| |
|
Reconciliation of financial data against submitted information and actual bank deposits. |
|
| |
|
|
|
| |
|
Submission of claims to payers and national clearinghouses via standard or electronic means. |
|
| |
|
|
|
| |
|
Post payments against monies owed with daily creation of a detailed accounts receivable (A/R) summary report reflecting key data. |
|
| |
|
|
|
| |
|
Monitoring of unpaid claims, pursuit of payment, and providing an aging A/R report monthly and on a year-to-date basis. |
|
| |
|
|
|
| |
|
Comprehensive collection service that you can customize to your in-house standards to maximize returns. |
|
| |
|
|
|
| |
|
Provision of patient relations services regarding issues of insurance and billing. |
|
| |
|
|
|
| |
|
Integrated billing focus so Practice Resources staff can work closely with your office to ensure correct and thorough billing activities. |
|
| |
|
|
|
| |
Maintaining OIG Standards - Finally, We're committed to ensuring that your practice maintains a sound Office of Inspector General (OIG) Compliance Plan for its billing policies. Practice Resources' compliance plan pays strict adherence
to all guidelines and regulations regarding fraud, waste, and abuse of federally funded healthcare programs. This generally improves your uncontested claim rate and cash flow. These auditing and monitoring procedures and standards apply to all the insurances we bill. |
|