Every practice is different, so we tailor our services to fit your needs. You can use all our services or pick and choose. Below is a list of our most widely used services and what is included.
Full Billing Services includes:
1. Medical and Vision Billing
2. Medical and Vision Posting
3. Medical and Vision Accounts Receivable
Full Medical Services includes:
1. Medical Billing
2. Medical Posting
3. Medical Accounts Receivable
Full Vision Services:
1. Vision Billing
2. Vision Posting
3. Vision Accounts Receivable
Posting only:
1. Medical and/or Vision Posting
Medical Billing – Prior to claim submittal we will review each claim for accuracy and completion. We will make sure diagnosis codes used are payable and pair able and add any additional information required such as, modifiers, performing/referring doctor, surgery dates, surgeon etc. Once reviewed, claims are uploaded to the clearinghouse of your choice and any rejections are handled as they arise.
Vision Billing – Prior to claim submittal we will review each claim for accuracy and completion. Once reviewed, claims are either uploaded to the clearinghouse of your choice or manually submitted on each individual webportal. Replacement authorizations will be obtained as needed. Glasses claims will continue to be filed in-house preferably by the optical staff that fit them to ensure accuracy.
Payment Posting – Medical or Vision EFT payments are pulled from the clearinghouse of your choice or individual insurance web portal, Paper check/payments are scanned by your office and loaded into a HIPAA compliant hub for our retrieval. All payments are posted on a line item basis. Monies due by the patient will be transferred on a line item basis, along with a description stating why the patient has a balance. This ensures information is at your finger tips should a question arise.
Accounts Receivable – This is an ongoing task. Review aging balances and make necessary calls, corrections and/or refile. Completed as denials are received and monthly.
Additional Service Options:
Statements – They are sent on a monthly basis, date range of your choosing. We will go through each invoice and ensure there is a minimum balance of $5.00 and that if it is a materials purchased the balance is at least two weeks old.
Coordination of Benefits – Prior to claims submittal we will review each claim for accuracy and completion. We will add any additional information required such as, primary insurance information, paid amount, primary EOB, etc. Once reviewed, claims are manually submitted on each individual web portal or printed and fax or mailed.
Credentialing – Obtain and fill out all paper or web applications for insurance companies of your choice, follow up as needed.
Fee Review – We will compare your current office fee schedule and contracted insurance fee schedule and ensure you are charging appropriate rates and maximizing reimbursements.
System Maintenance – Enter or Edit Insurance Companies and appropriate information as necessary for proper claim processing. Trouble shoot system errors resulting in fictitious balances or errored claims.
