Weekly Billing Envelopes
Billing envelopes should be delivered to our office on a weekly basis, consistently on the same day of every week. Some of the most common methods used are: standard mail services, overnight services, or a courier service. Shipping and handling fees are the responsibility of our Clients, unless otherwise specified in your contract.
Any claim, which is missing required information, will be reported to your office as being "Incomplete". Incomplete claims need to be corrected and resubmitted to our office within one week. Additional fees may be applied to those clients whose billing envelopes are consistently not in compliance with the requirements set forth, and agreed upon in service contract.
Claims Filing Only (Without follow-up)
- Entering and submitting primary and secondary claims, up to six lines per date of service.
- Posting of payments only on primary claims requiring a secondary billing.
- Submitted Claims Report that includes claim detail as well as information needed in order to perform in-house tracking of claims.
Full Service Billing (Insurance and Patient) & Practice Management w/follow-up
- Entering and submitting primary and secondary claims, up to six lines per date of service
- Follow up with insurance carriers to check the status of claims
- Posting payments to insurance claims or self pay patient accounts
- Tracking unpaid procedures and sending Letter of Medical Necessity when necessary
- Resubmitting claims to insurance carrier upon request
- Notification to our clients regarding and "Incomplete Claims" which were unable to be processed as a result of additional information required by the insurance carrier to adjudicate your claims
- Generate patient statements (paper) on a monthly basis (unless otherwise specified in contract) to any patient with a balance of $5.00 or more
- This shall include any balance due remaining after all insurance carriers have made payment and balance is patient responsibility
- While routine waivers of co-payments is not advised, if a patient has not paid their co-payment at the time of service a patient statement will be generated at clients cost
- Patient Billing also includes generating statements on a monthly basis to any uninsured/self pay patient who has not paid at the time of service. This can also include those patients who are placed on a payment plan
- Advanced Billing Concepts uses a "soft collection" method with patients, and will continue to work with any patient until instructed to do otherwise by the client
- Arrangements can be made for a collection agency of client's choice, to receive past due accounts after 90 days (or as otherwise specified by client)
Support Services
Includes telephone calls from our office to clients, staff and patients
Most of these calls are concerning patient accounting issues, insurance questions, payment arrangements and contract negotiations with insurers
All clients, patients, insurance carriers and staff will be treated with respect, courtesy and complete confidentiality.
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