Claims Filing & Follow Up

 

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Our professional billing staff receives individualized training, allowing them to more effectively work with individual payers, specific to each payer’s rules and policies. Armed with knowledge of what each payer requires to get timely and maximum reimbursement for your services, we are able to achieve the highest possible collection rate. Although we require our physician clients to do their own coding, certified coders are in place to assist with specific coding questions, identification of denial trends, and assist with appeal logic to recover payment for claims where denials were inappropriate or lie outside standard billing practices and Correct Coding Initiative (CCI) guidelines.

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The Health Group focuses on staff training to ensure prompt charge entry, coding compliance, and prompt claims processing, thereby improving the payment process. High collection rate of accounts receivable is the result of a team effort between staff in the billing office and physician's office. This relationship allows us to obtain superior results.

Results Include:

  • Client receivables that are most often under 30 days outstanding
  • Aged balances, over 90 days, generally less than 10%
  • Bad debt percentages that are among the lowest in the industry

 

 

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