Services

• Process primary, secondary, tertiary medical billing claims.
• Follow up with insurance (primary/secondary).
• Track unpaid claims and send Letters of Medical Necessity when necessary.
• Provide notification regarding any "Incomplete Claims" which were unable to be processed as a result, or when additional information is required by the insurance carrier to adjudicate claims.
• Provide you with comprehensive financial reports.

• Our staff of professionals handles every detail of credentialing for you.
• We contact you weekly to update you on progress until the process is over.
• We provide you with written reports with our updates.
• We track all applications submitted and maintain accurate records.
• We guarantee complete security, confidentiality and accuracy.

We take the following steps to ensure your compliance:

• We review 50 records at random from your medical billing to check if any improper coding and non-compliance issues with Medicare/Medicaid appear.
• We specify what corrective actions are needed to comply with codes.
• We perform any necessary changes to put you in compliance.
• We stand behind you with assistance in the event you are audited.

We offer services that manage your medical coding in accordance with the national standards (ICD-9CM, CPT, CMS and HCPCS).  Although medical staff may be trained on coding standards, the fact is, the codes often changed or are modified, or the requirements for using a specific code can differ from year to year. This jeopardizes not only your compliance but also your revenues because if a diagnosis or procedure code has been incorrectly assigned, you might end up with a denied claim or a decreased payment.