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BILLING
• Patient demographic downloads electronically
from hospitals
(turnaround time from services to claim submission
48 – 72 hours)
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Electronic claims submission
(claims submitted daily)
•
Easy to read laser printed patient statements
(statements submitted daily)
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Address correction service
(bad address does not have to mean “collections
account”)
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Timely follow-up of unpaid claims / statements
(contact is made for all outstanding accounts)
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Appeals of unacceptable / non-contractual payments
(systems in place to manage reimbursements)
CODING
• Experienced E.D. coders
(coders specialize in E.D. services) •
Coding compliance
(review of CMS coding by three national E.D. coding
companies)
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Annual coding review
(in-service offered on behalf of all CMS clients)
TECHNOLOGY
• Proprietary software
(flexibility and ability to change are both guaranteed)
•
Full service IT partner
(zero downtime guaranteed)
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Dell™ servers
(reliability / downtime guaranteed)
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High speed imaging in-house
(hard copy documents digitally archived)
•
HIPAA compliant file uploads / downloads for CMS
clients
(send data at your convenience)
REPORTING
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Highly acclaimed custom reporting
(simple, timely, color monthly management reports)
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Compilation of data regarding fees, RVU, etc.
(full practice analysis provided)
CREDENTIALING
• Completion of all provider enrollment
applications
(timely, complete, error free process)
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Assistance with payer contract negotiations
(in-person meetings with payers / data analysis)
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