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Frequently Asked Questions (FAQs)
- How Does The Process Work?
- How Do We Send You The Information?
- Who Collects The Payments?
- How Does Your Follow-Up And Appeals Process Work?
- What If A Patient Doesn't Pay?
- What Type Of Management Reports Will I Receive?
- How Do You Insure Patient Confidentiality?
With our Full Practice Management services, you will provide us with all
necessary billing information. Upon receipt, we will process all claims within 3
business days. When you receive your checks from the insurance companies, you
will forward us the EOB*s so that we can post the payment to the patient's
account. We will bill for any remaining balance to the appropriate payer(s).
Then we will start all follow-up and appeal procedures.
On an agreed upon schedule, you can mail, fax, or e-mail us the information.
Depending on your volume, we can accept daily, bi-weekly, weekly, or monthly. If
you are using our EMR solution, we will pull records electronically daily.
There are two different ways that payments can be collected. The first method
is that all payments are sent directly to your office. You are only responsible
for providing a copy of the EOB. The second method is we will set up a lock box
service. The insurance checks will be directly deposited into your checking
account. We would receive the EOB*s directly.
Our Follow-up department runs weekly reports to track any insurance aging. We
will place a phone call to the insurance company when a claim reaches 30 days
old. We take appropriate measures to insure that you are promptly paid. Each
claim that has been paid for, is automatically reviewed for the proper
reimbursement schedule. If you were not paid the correct amount, we will work
the claim until you are.
We recognize that every practice has it*s own standards for collections. We
will adopt the policy implemented by your office. In our experience, most
practices allow for 2 statements at 30 day intervals. A third, modified
statement at 90 days, requesting prompt payment in full is sent to the
guarantor, followed by a phone call. A Patient Aging Report is sent on a monthly
basis for your review and determination.
Our reports include over 160 reports, charts and graphs, plus 24 data export
templates in eight groups. Here are some of the basic reports we offer: Practice
Analysis, Insurance Analysis, Referring Provider , Referral Source, Patient
Aging, Insurance Aging. Because we use a relational database, reporting options
are unlimited.
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We have developed a compliancy program that meets and or exceeds the
requirements set forth by the HHS/OIG. All Employees are screened against the
OIG Exclusion Database. All Employees are trained are regularly advised of any
new federal regulations. All employees are required to submit to a code of
conduct.
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CLICK HERE FOR A FREE QUOTE OR CALL
US AT 1-800-641-9636
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