Computerized Healthcare Billing
- Patient registration
- Recording of charges
- Electronic claims processing
- Insurance collections
- Patient billing and collections
- Insurance appeals on underpaid/improperly paid services
- Coding
- Certified professional coders
- Bundling/unbundling and modifier use
- Optimizing billable services
- Real time database connection in office
- Controlling “silent PPOs”
- Implementing the ever-changing CMS 1500 regulations
Financial Reporting
- 100% Reconciliation with practice
- Managed care adjustments and Medicare write-offs
- Capitation posting for participating primary care physicians
- Accounts receivable aging
- Allocation of individual physician’s performance under group practice
- Comparisons of value of service reimbursed from managed care plans
- Allocating number and dollar values of types and places of service
- Comparisons of procedure utilization reports
- Patient category and profile reporting
View report samples
Consulting And Management
- Billing consulting
- Coding and chart audits
- Audits of insurance payments, write-offs, appeals
- Internal collection methodology
- Accounts receivable and fee schedules
- Office policies and protocols
- Staffing requirements
- Physician and staff training in coding, procedures and documentation
- Evaluation of healthcare agreements
- Analysis of practice profitability
|
