 |
All services listed above are included with the signing of a one-year contract. Services listed may be used independently. Cost is based on necessity and workload. *Credentialing status is acquired for all clients upon the receipt of a master list of insurance companies with which the provider is in-network. Additional charges apply for initial credentialing and re-credentialing. All patients' insurance benefits are verified for future appointments as well as current patients. This is done so that all benefits are up to date and reliable which enables the billing to be done appropriately and in a timely manner. Also, co-pays and authorizations are correct and in place for all patients' appointments.
All patient charges are entered daily and billed out electronically through McKesson. Electronic remittance is received for Medicare and Blue Cross Blue Shield. Weekly reports are provided that include all charges billed for office appointments and surgeries within that time frame. Authorizations are obtained and set in place for patients that have insurance coverage that requires us to do so. Patients are contacted when it is their responsibility to bring a referral from their primary care physician. The office staff is alerted to any patient who is not authorized to see a provider so that rescheduling or any other action that needs to be taken will be done so prior to the appointment. This assures the provider that they will not be seeing patients without proper coverage.
Insurance and patient payments are posted to the appropriate accounts on a weekly basis. This provides the provider and their office accurate patient records and detailed bookkeeping. We meet with your office staff on a weekly basis. Much of the success of our company is a result of us working with office staff as a team. Each week, at a scheduled time, we drop off the reports from the previous week and retrieve payments, insurance explanations of benefits, and any other information that is pertinent to the ongoing success of your practice. This is also a time to discuss any issues and to make changes, if needed.
Each month a meeting is scheduled with our client. This time is utilized to explain monthly reports, answer any questions and discuss new ideas, future plans and to make any changes, if needed. We offer credentialing to all of our clients. Once a client has signed with us for the duration of one year we require a master list of insurances that the office is contracted with. Upon receipt of that list, we will provide you with the status of that credentialing. For an additional fee, we also do initial credentialing for any provider that may join the practice as well as existing providers wanting to join an additional network, and we also handle the re-credentialing when needed. Fees for credentialing are provided in the costs and fees section.
VIEW OUR LATEST MARKETING PIECE
Denials that may be received are immediately appealed. We will make every effort to retrieve payment from the insurance company. Patients are also contacted if they play a role in getting the claim paid. Any changes that are to be made on claims will be done and claims resubmitted electronically. Statements are sent to patients on a monthly basis. Patient payments are tracked so that the status of your outstanding accounts can always be recognized. We provide soft collections for our clients. This includes 30, 60 and 90 days past-due tracking. Our office will contact the patient via letter for 30 and 60 days past-due and will call the patient if there is no response. A final warning letter will be sent to all patients who are 90 days delinquent. If no response is received after the final warning, patient accounts will be sent to the collection agency of our clients' choice. Each week a report will be dropped off at your office which will show the charges and collections made the previous week. Monthly reports will include a total of the month's charges and collections. Reports are broken down by provider, detail of service and outstanding amounts. All reports are very detailed and can be customized to the preferences of each client.
|
Verification of Benefits
© 2006-08 MEDICUS Consulting & Outsourcing, Inc.
All rights reserved.
