»           Insurance Verification      

By verifying insurance information prior to claim submission, we reduce the number of denied claims. Our software has the ability to check eligibility for Medicare and most large commercial payors.

»         Medical Necessity Verification

Our staff is thoroughly trained in appropriate documentation pertaining to medical necessity guidelines and ICD-9 coding requirements for Medicare, Medicaid and all commercial payors. 

»         Data Entry of Charges

Appropriate procedure code utilization is essential for claim payment.  Many payors have different procedure code requirements for the same type of service and our system is capable of meeting the various payor needs.

»         Electronic Claim Submission

Use the technology that is available with our system.  If you are not currently submitting claims electronically, you are unnecessarily delaying reimbursement!  Studies have shown that electronic claim submission translates to payments within 15-21 days as opposed to 45-90 days for paper claim submission.

»         Payment / Adjustment Application

We understand accurate application of payment and adjustment 
            activities are essential to   your record-keeping needs.  In addition,
            timely payment/adjustment posting is necessary to expedite
            supplemental claim submission.

»         Denial Posting / Appeals Process

The appeals process can be intimidating to inexperienced billing staff.  We have extensive knowledge of the Medicare appeals process which includes Reviews, Fair Hearings, and Administrative Law Judge Hearings.  Further remedies are available but needed only in extreme situations.

»         Tailored Private Pay Schedules

You have the choice of the billing cycle to be utilized and can custom-define the invoice messages.  You also define how many billings are sent prior to final write-off.  Lastly, you can choose the appropriate time frame for final write-off and/or agency placement.