• Practice Education – Close interaction with office manager and staff regarding proper submission of billing information, insurance verification, authorization, collection of co-payments, insurance information updates, waivers and coding updates.
  • On-site meetings monthly, or as necessary with physician and/or staff
  • Review of finances, trends of the practice, problems in collections, coding updates, procedural guidelines, and documentation issues.
  • Monthly financial snapshot of your practice.
  • Evaluation and Management code trends – Compare the practice’s E & M codes against the national bell curve to protect against a possible audit.
  • Coding review of charges – When provided with the procedural report, our certified coders will code to the highest level of specificity without over-coding, ensuring maximum legitimate reimbursement.
  • Electronic claims submission.
  • Monitoring of managed care reimbursement.
  • Insurance follow-up – Insurances not paying charges within a determined timeframe will be contacted directly for an explanation.
  • Appeals of denials.
  • Research on new procedures and codes – The Physician Services staff is continually being educated on new codes and protocols for coding new procedures. That information is passed along to the client.
  • Annual review and revision of fee ticket or superbill ensuring that all codes are current and payable.
  • Medicare, Medicaid and Blue Cross Blue Shield credentialing.
  • A resource to answer or research billing questions.
  • Federal program billing – Section 1011 billing for undocumented aliens, indigent billing, billing for medically underserved areas.
  • Scanning technology to transmit charges to our office.
  • Optional connection to our billing software so that the client’s staff can check for balances and verify insurance information.