Full Service Plan

If you're interested in a billing service plan that takes care of everything – a Full Service Plan – contact us now – and we'll be pleased to answer your questions.

Here are the features of our Full Service Plan:

Value and Simplicity

We offer you free encounter forms, coded in your specialty, with your name printed at the top – or, we'll gladly accept the encounter forms you're already using.

The forms we offer are two-copy NCR, which will provide you with an automatic chart copy of each visit.

Simply check off the diagnoses and procedures you perform, send us the encounter forms, by fax or mail – and then you're done! We'll do the rest!

Accuracy

We'll scrub your encounter forms for

• valid diagnosis and procedure codes
• modifiers
• coding compatibility
• patient demographics
• referral IDs
• prior approvals

and numerous additional validity checks.

If we find a problem during the scrub, we will attempt to correct it immediately, to get your claim moving.

And when we can't resolve a problem immediately, we'll send you a problem claim form, to request the information needed to resolve the matter on a timely basis.

Fast Payment

Once your claims have been scrubbed, we transmit them electronically to Medicare, Medicaid and commercial payers – on the same day we receive them in most cases.

After transmission, we verify that payers have accepted them, and are processing the claims for adjudication.

Payments always go directly to you.

Payments & Coinsurances

We post your received payments, and submit your subsequent co-insurance and patient billing:

• Upon receiving your EOB's (ERA's) by fax or mail, we apply the payments to the appropriate claims.
• We then automatically submit your patients’ secondary insurances, electronically or on paper, as each claim requires.
• And we send out patient bills, too, if you have requested this service.
  

Our Full Service Plan allows us to maintain an accurate and up-to-date Accounts Receivable for you.

Careful Followup Procedures

We carefully follow up your claims.

Each day, we analyze your open claims, and call insurance companies on your behalf to resolve issues, until your claims are paid in full, or until you tell us to write-off a particular claim’s balance as uncollectable.

We achieve 96% reimbursement rates, in many cases, as a result of dogged persistence in following up our clients’ claims.

EOB's & Reports Online

We give you access to our secure web server, with your own User ID and Password, so you can see your Medicare EOB’s (ERA's) online.

You can ask us to queue up online Practice Analysis and Accounts Receivable reports, as well.

And if you request it, we can text-message you the amount of your next Medicare check – before you even get your EOB!

Confidence

Confidence – in our quality of service:

We offer double the credit, if we make a mistake. If your claim is rejected because of any error within our control, we will correct and resubmit the claim, credit your account for the claim, and process an additional claim for you at no charge.

And for errors outside our control, we offer to correct your claim, and resubmit it, for a nominal .65/claim.

A Comprehensive Service

From encounter to payment, our Full Service Plan is a comprehensive service that leaves you with more time to see patients.

Mental Health Authorizations

We can call insurance companies, to request therapy authorizations – to save you time.

And we can track patient authorization usage, and request OTR’s.

DME (Durable Medical Equipment)

We'll submit your DME claims and receive your DME ERA's electronically, once your DME EDI enrollment process has been completed.