Services

Scheduling

This is a valuable optional service offered to you. Our centralized scheduling department provides patients with easy access to make an appointment. Features of the scheduling department include:

  • Dedicated toll free number to identify your patients.
  • Scheduling software for all users updated real time.
  • Extended business hours.
  • Over 25 people answering calls.
  • Insurance information gathered at time of appointment means no waiting at check-in.
  • Reminder/confirmation calls provided.
  • This is a parallel service and does not have to replace your scheduling process.
  • Proven collection results when correct insurance info is obtained at time of appointment.
  • Flexible scheduling templates ensure you always determine your schedule.

Insurance Verification

Benefits of Insurance Verification to our Practices:

  • Seamless process within our appointment scheduling and billing software.
  • Benefits presented to the offices via internet and immediately available.
  • Quick updated response from IV if insurance has changed when patient presents at check-in.
  • Exact amounts due from patient are calculated at checkout when charges are entered by the office.
  • Patients’ insurance verified before being seen have a greater rate of being paid correctly and quickly.
  • As all insurance information is gathered ahead of time, there are no delays at patient check-in.

Coding

Coding all clinical visits is a hallmark of our approach and commitment to the integrity of your medical notes and billing information. Thorough review of your documentation before it is billed provides proactive preparation for audits and claims review on the payer end.

Additionally:

  • All clinical encounters are reviewed for accuracy and completeness.
  • All coders on staff are certified.
  • Coding is completed within 1 day of receiving your patient’s encounter information.
  • Reports provide you with coding changes and reasons for any change.
  • Our process includes a follow-up system to ensure all missing or incomplete information is received.
  • We provide individual physician coding assistance upon request. As new treatment codes are introduced, we do the necessary research to ensure correct coding and maximum reimbursement. We provide in-house software programs to assist with ensuring compliance with global surgical periods, “incident to” requirements, and more. As all insurance information is gathered ahead of time, there are no delays at patient check-in.

Billing & Accounts Receivable Follow-up

Our billing and collections team is second to none with the important goal of getting our claims “cleaned”, submitted quickly, adjudicated and PAID. Our unique system of software-aided reports and alerts facilitate pinpointing claims that need attention vs. claims that are still within a reasonable window of processing externally. We closely monitor our overall statistics and individual accounts to assure that our results stay consistently excellent.

Our results speak for our level of service:

  • Our claims are on average paid in less than 20 days.
  • We write-off less than 3% of all claims submitted.
  • We bill our claims the same day as the encounter is coded.
  • We fully utilize all technology to bill electronically as accommodated by payers.
  • We provide all billing software.
  • We have an extensive in-house claim “scrubbing” system to get the claim right before submittal.
  • We store & access all EOB’s electronically and also individually attach each to the patient record.
  • We provide an advanced system of claims follow up and appeal resolution.
  • We load all your specific managed care contracted rates into our computer system to monitor and ensure proper payment.
  • All of your payment and billing transactions are detailed within NextGen for easy reference.

Customer Service

Our centralized customer service team combines years of insurance processing experience with a friendly, helpful approach to our offices and patients. We pride ourselves on our quick response and resolution time.

  • Resource for office questions with patients’ questions.
  • Same day response to patients.
  • Access to customer service via toll free number and email.
  • Online documentation and customer service notes available on patients’ accounts in the billing software.
  • Statements sent out weekly.
  • Budget plans established and maintained per practice preferences.

Reporting & Receipt Distribution

Your cash is sent to you weekly with a full reporting system which includes:

  • Coding changes and explanations for each.
  • Monthly summary reports on insurance and patient activity.
  • Customized reports available on request.

Information Platform & Computer Hardware

All systems are engineered redundant and housed in a secure off-site facility to ensure 99% system up-time. We supply and maintain all computer hardware and software you’ll need for you and all of your staff (i.e. PC’s, printers, scanners).

Our appointment scheduling and billing software is NextGen, which is easy to use and rich in features.

  • Email links all staff and offices together.
  • Daily office batches are transmitted via scanner, kept in electronic archive for reference.
  • Streamlined communications with central office via software i.e. no faxing necessary.
  • Complementary software calculates correctly and completely patient due at time of service.
  • Insurance card images retained in software on patients’ accounts.
  • Full software training provided.
  • Help Desk support 24 x 7.
  • Office forms customizable and available within NextGen.