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Specialize in collecting on claims you could not resolve
Available to evaluate your A/R to identify issues and balances due
Identify and streamline workflow to maximize collections
Identify issues before they become problems
Specialize in collecting on claims you could not resolve
No fee unless we collect.
No risk for referring claims to us.
All healthcare providers have claim issues that they cannot resolve; the longer the claims remain outstanding, the higher the Accounts Receivable grows.
It is not possible for staff to effectively dedicate enough time to work on complex claim issues while handling current billing – something always gets neglected. Often denied claims are put aside or overlooked, resulting in lost revenue. They must be reprocessed within a certain timeframe to avoid write offs.
Providers need someone with a dedicated focus to help get those problem claims reviewed, worked on and paid. Refer these claims to us. We will take the burden off your staff which will allow them to devote more time to their current workload.
Claim resubmission
Claim tracking
Appeals and reconsiderations
Backlog claim projects
Denial management
Medical records requests and audits
Our team of experts will focus on the outstanding problematic claims and get them resolved increasing your cash flow.
Some of the types of billing we handle are listed below:
Long Term Care
Acute Care
Homecare
Clinics
Day Care
Laboratory
Group Practice billing
Your agency can refer as little as one claim, your entire A/R or anything in between.
Once you submit a referral we will reply with a contract.
Available to evaluate your A/R to identify issues and balances due
Diagnosis the issues. Eliminate the denials.
Analysis can be very time consuming. We give our clients the option for us to evaluate your Aging Reports to identify claim denial and associated trends. Depending on your outstanding claim volume, we can provide you with our results in about a week.
Our experts analyze your agency’s Account Receivable, freeing up your staff to work on current claims.
Identify and streamline workflow to maximize collections
Basic technique refinement equals increased cash flow
Based on 30 years of healthcare billing experience we will recommend processes that can help your business run more smoothly and effectively. Simple process improvements, tighter billing and collection timeframes and basic technique refinement will have significant results in reducing your agency’s A/R and increasing cash flow.
We will educate your staff on these suggested changes and help them master how to handle the day to day tasks more efficiently.
Intake documentation
Insurance verification and documentation
Authorization management
Claim Management
Internal & external communication
Identify issues before they become problems
An expert set of eyes monitoring your processes
Multiple options are available for us to oversee as little or as much as you want.
Billing
Claim transmissions
Claim rejections
Electronic ERA
Cash posting
Medical record requests
Aging reports
Our team makes sure everything is flowing as it needs to based on years of experience. If it is not, we can help resolve it.
If you chose this option, you can assign one or more payers to us to monitor payments and rejections. Once a claim is rejected we log it into our tracking system and begin the resolution process, usually within a day or two. We determine the cause, resubmit and track the claim until paid.
Our denial reporting allows you to recognize why denials are happening and we will suggest ways for you to reduce or eliminate these denials.
