We have extensive experience with A/R outsourcing. We evaluate such things as collectibility of denied Medicare / Medicaid claims to potential use of agency placements. Our billing software has the ability to resubmit denied claims electronically to expedite payment. In many cases the existing A/R can be downloaded to our software program.
After identifying your specific needs, we will assist your staff with the provider number application process for Medicare, Medicaid, Railroad Medicare, United Mine Workers, Champus/Champva, Federal Black Lung, Bureau of Workers Compensation, and Anthem BCBS to name a few.
Great Lakes policy for cash control utilizes a lockbox process, whereby all payments are processed by an outside financial entity. A bank establishes a post office box in the name of the specific provider. When the payor remits payment to the lockbox address, the bank actually receives the funds, copies the check, deposits the money to your bank account, and forwards the copied remittance information to the designated billing service. These funds are then immediately available to the EMS system, as opposed to receiving a check monthly.
Because we are so familiar with ambulance claim reimbursement, we can show you how to establish your rates in such a way as to maximize your reimbursement potential.
Good documentation is the key to successful claim payment. We will review your current run report format and make any necessary suggestions to improve fields for data collection. In addition, we would like to review a representative sampling of prior run reports in order to ensure compliance with Medicare documentation standards.
Our preference is to receive your runs through one of our many electronic interfaces. Currently we have an interface with Zoll (RescueNet), EMSCharts, Emergency Reporting, HealthEMS, EnCharge, ESO, and IMS. If your operation software is not listed we will work with you to determine the best method of run submission.
