- Basic
3% - Enhanced
4% -
PopularPremium
5%
| Billing - Service Based | Basic 3% | Enhanced 4% |
Popular
Premium 5% |
| Billing - Service Based | 3% | 4% | 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 $350.00 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 | Buy Now | Buy Now | Buy Now |