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Services and Fees
ServicesDescription
AppealsFor claims that may initially reject, we file an appeal with the insurance company or either correct any errors and resubmit the claim
CPT, HCPCS, AND Diagnosis CodingFor each claim that we process, we thoroughly review the coding and assure that it is accurate. If not, we add on what is missing, and correct if needed. If claim is not coded we will code it before claim is submitted to insurance
Credential assistance1 Claim Source will make efforts to assure that you are credentialed with each insurance. We will process the paper work on your behalf if needed
Fee AnalysisUpon enrollment, we will review the fees that you charge and assure that you are not underbidding for your procedures.
Form Creation1 claim source gan generate forms specific to practice management; such as superbill (encounter), ABN, new patient registration, etc.
General ServicesFor every billed service that comes back paid
Medical Claim Subission SoftwareAllows you to manage your company data (patients, providers, Procedures, Fees, Diagnosis, Places of Service, Claims, and Accounts Receivables)
Medical Claim SubmissionSubmission of Medical Claims to the insurance Carriers either Electronically or through paper media
Medical Collection/AR Clean-UPAnalyze each oustanding claim by viewing how it was originated and comparing it to the rejection. We then determine if it can be appealed or rather resubmitted.
New Practice Set -UpWe will help a start up business process the necassary paper work to become contracted with insurances. We will make efforts to help secure an NPI, EIN if needed.
Online AccessYou will be allowed to view your claim activity (with our company, not the insurance carriers) online. Upload Claims, and Download components necessary to bill with us.
Patient Account ManagementPatients will be given access to the internet to submit questions regarding their bill if needed. They will then be contacted directly from us with an answer or a solution.
Patient InvoicingAfter a claim is posted from the EOB (insurance remittance) the patient may have a balance. That balance is then printed on an invoice and mailed to the patient, directing them to submit a payment where ever you instruct us to.
Seconary Claim SubmissionIf patients have two insurance plans, the second insurance will be billed after the primary insurance makes their payment
Set-upUpon enrollment, we build billing modules which are customized to your specifications: This also includes data conversion and balance forwarding.
   Listed Below are some of the facts that statistics have published nationally.
  • Are you aware of the fact that your practice could be spending 50% more on overhead than it needs to?
  • Are you aware that statistically, you could be losing 30% or more in profitable revenue through non-billed services or rejections?
  • Did you know that if your practice treats twenty (20) or more patients a day then you would need to hire at least three experienced Medical Billers (Bachelor’s Degree level) to handle that load?          
  • Did you know that rejections are overturned and paid out more quickly if your billing staff appealed the denial within 30 days or less?          
  • Are you aware that about 40% of your services may be omitted when your claims are submitted to the insurance; through human error, inexperience, or insufficient quantity billing?          
  • Did you know that at least 20% of your patient’s bills could possibly be turned over to collections erroneously; due to lack of understanding of the insurance denial, or remittance vouchers?          
  • Are you aware that approximately half of your electronic claims (when billed internally) could fall through the cracks for being non-compliant to the current EDI format?
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