Get a FREE Demo today!
Fill the form and we will contact you right away
*We respect your privacy.
Grow Your Annual Revenue By 15% !!! Reduce Your Total Cost By 30% utilizing our unique Hybrid WorkFlow Model.
ACCOUNTS RECEIVABLE FOLLOW-UP$6.5 per hour* and onwards or $2.25 per follow-up based on workflow plan
Our A/R Follow Upservice is designed to increase Revenue Collection for Physician offices.
The process begins after the Doctor’s biller creates and sends Health Insurance Claims (Electronic/ Paper claims or Manual HCFA forms) to various Insurance companies. Depending on the transmission type and length of time since submission we begin our follow-up:
SCANNING & INDEXING$6.5 per hour* and onwards or 20 Cents per scan image based on workflow plan (HALF OF YOUR STAFF COST)
Documents scanned in at the doctor’s office are categorically filed into the patient charts as per the requirements of the clinic. Clinical Reports will be given a time and date stamp to allow for more organized indexing.
Other types of images which can be filed include Insurance card scans, inbound faxes, and hand written medical notes.
No-show Rescheduling & Appointment Scheduling$6.5 per hour* and onwards or 45 Cents per live appointment confirmation based on workflow plan 15 Cents per automated appointment confirmation
The Appointment Scheduling service is offered to provide doctors a convenient way to book more patients on a consistent basis.
Scheduling is done as per the requirements of the office which include working hours, total providers, procedure type, locations, etc… The actual appointments are scheduled directly into the provider’s Practice Management system.
Eligibility Verification with Payers$6.5 per hour* and onwards or $2.50 per Benefit Verification based on workflow plan
Eligibility checking is the single most effective way of preventing insurance claim denials.
Our service begins with retrieving a list of scheduled appointments and verifying insurance coverage for the patients.
Once the verification is done the coverage details are put directly into the appointment scheduler for the office staff’s notification.
Referral Submission & Tracking$6.5 per hour* and onwards
For Specialists who requires a referral or a pre-authorization form the process starts with retrieving the patient demographic information, insurance coverage, procedures to be authorized, and details of the provider to which they will be referred.
Once the referral is submitted tracking will be done to insure that the patient will be authorized to see the specialist on their designated appointment. This service also allows for emergency referrals on the date of service as needed by the office.
Payment Posting$6.5 per hour* and onwards or $3.5 per $1000 posting based on workflow plan
Explanation of Benefits (EOB) payment posting is done as a service using two methods described below:
Manual Posting - EOBs are sent to the posting team by scanning them in at the doctor office level, shipping them in pre-paid envelopes, or having them picked up directly at the provider's location.
Auto Posting – EOB payments come in the form of ERA (Electronic Remittance Advice) files which are downloaded directly into the provider's Practice Management system. All posting is done directly in the system so the provider can audit at any time.
Demographics & Claim Entry$6.5 per hour* and onwards
For Claim creation the process starts with Demographics entry and insurance verification. Either through scanning documents to our billing team or having it shipped in packages we collect all the information necessary to generate an encounter: demographics, insurance information, and icd/cpt codes.
$16 per hour* and onwards for initial submission
$6.5 per hour* and onwards for follow up
$100 per provider per payer enrollment
Credentialing is the process of review and verification of the information of a health care provider who is interested in participating with Various Insurances in their County.
Get In Touch