• Billing - Service Based

  • 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
  • Managing inbound and outbound patient calls.
  • 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
  • Basic

  • 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 $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
  • Managing inbound and outbound patient calls.
  • 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
  • Enhanced

  • 4%

  • 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
  • Managing inbound and outbound patient calls.
  • 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
  • Premium

  • 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
  • Managing inbound and outbound patient calls.
  • 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