Basic
Package
3%
-
Daily claim submission
-
Posting insurance remittances/payments
-
Handling claim denials
-
Tracking and following up on unpaid claims
-
Contacting insurance companies to resolve claim denial issues
-
Credentialing is a separate service with an invoice of $250.00 per application
-
Monthly financial report
-
Year-end practice performance analysis report
Enhanced
Package
4%
-
Daily claim submission
-
Posting insurance remittances/payments
-
Handling claim denials
-
Tracking and following up on unpaid claims
-
Tracking and following up on unpaid claims
-
Contacting insurance companies to resolve claim denial issues
-
Credentialing is a separate service with an invoice of $250.00 per application
-
Monthly financial report
-
Year-end practice performance analysis report
-
Managing inbound and outbound patient calls
-
Sending bulk patient statements every 30 days
-
Sending instant patient statements
-
Bi-weekly AR report
-
Uploading claim batch files to ACO
-
Mailing medical records to payers, attorneys, and workers' compensation.
-
Mailing HCFA paper claim forms
-
Transitioning from virtual credit cards to paper checks or EFTs
-
Reconciliation of billed amounts against payer contracted amounts every six months
-
Patient unapplied overpayment report generated every six months.
-
Posting patient remittances/payments
-
Posting inpatient hospital and other facility charges
-
Quarterly zoom client meetings
-
Monthly prior authorization and referral missing report.
-
Enroll in ERA/EFT for eligible payers
Premium
Package
5%
-
Daily claim submission
-
Posting insurance remittances/payments
-
Handling claim denials
-
Tracking and following up on unpaid claims
-
Contacting insurance companies to resolve claim denial issues
-
Credentialing is a separate service with an invoice of $250.00 per application
-
Monthly financial report
-
Year-end practice performance analysis report
-
Managing inbound and outbound patient calls
-
Sending bulk patient statements every 30 days
-
Sending instant patient statements
-
Bi-weekly AR report
-
Uploading claim batch files to ACO
-
Mailing medical records to payers, attorneys, and workers' compensation.
-
Mailing HCFA paper claim forms
-
Transitioning from virtual credit cards to paper checks or EFTs
-
Reconciliation of billed amounts against payer contracted amounts every six months
-
Patient unapplied overpayment report generated every six months.
-
Posting patient remittances/payments
-
Posting inpatient hospital and other facility charges
-
Quarterly zoom client meetings
-
Monthly prior authorization and referral missing report.
-
Enroll in ERA/EFT for eligible payers
-
Download patient face sheets from hospital and other facility systems
-
Checking uninsured status across various portals.
-
Customized reports
-
Submit and follow up on patient collections
-
Submitting medical records to attorneys/payers for post-paid claims
-
Retrieving records from the hospital portal
-
Contacting hospitals/facilities to obtain prior authorization numbers
-
Checking the facility portal for the preauthorization number
-
Prepare medical record invoice for post-paid claims
-
Appeal claims and hearing scheduling for payer denials.
-
Mailing appeal letters with tracking number Any postal mail
-
Setting up insurance portals for practice and billing
-
Sending itemized bills to attorneys for post-paid claims
-
Contacting dialysis centers for provider lock-in verification
-
Training for front office staff
-
Complimentary coding audit report for the first three months from the signing date
-
Complimentary practice consultation available anytime
-
Complete practice management system (PMS) implementation
-
Managing returned patient statements (RTS)
-
Managing patient accounts submitted for collections
-
Collections payment monitoring and posting
-
Collecting the patient balances directly in the PMS
-
Provider's CAQH profile up to date
-
Reattesting the provider's CAQH profile if needed as per the payer's requirement
-
Clearing house setup
-
Medicaid CMO revalidation
-
Medicare revalidation
-
Payer contract negotiation Attorney reference
-
PECOS enrollment
-
Checking allowed rate with the payer contract
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