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Medical Billing Service - How do we do that?
Our Commitment
Collect 50 % of the claims within 30 days of Service. Maintain A/R beyond 45 days to less than 8%.*
PracticeClaims Proactive Model Traditional Reactive Model
Validate demographics
Perform eligibility test
Scrub claims prior to submission
Aggressive online claim status and follow ups
Electronic Remittance Advice
Automating payment posting (if available)
Timely billing and follow up of Patient,
Secondary and Tertiary Insurance
Claims errors are notified by Payers.
Creates reason for payers to hold claims indefinitely
Billing activities are performed reactively
Relies on heavy manual work
Waste of time on phone call and follow-ups

Current known National statistics
6% claims paid within 15 days
53% claims paid within 60 days
17.7% in AR beyond 120 days
   
PracticeClaims maximizes physician reimbursement by consistent follow-up on all unadjudicated and under paid claims. We electronically submit claims to all Insurance Carriers who have the capability of receiving electronic claims. Prior to claim submission each claim is reviewed using various coding and Insurance Carrier guideline edits to ensure clean and accurate claims. As a national Physician Practice Management company, PracticeClaims stays on top of reimbursement related issues all across the country. 

When remittance advices are received, our experienced payment posting staff enters all payments and adjustments. Any denials and under payments received are immediately reprocessed to prevent timely filing and bad debt issues which can be costly to your Practice.

PracticeClaims conducts continuous education training for clients to ensure that your Practice is kept current regarding any changes to your payers' claims processing guidelines.

Percentage of Cash Goal - Any person who works on managing accounts receivable, knows that "Cash is King" . The entire purpose of coming to work everyday is to try and get cash in the door. So how do you know if your efforts each day are producing results? One way is by establishing a monthly Cash Goal. By establishing a monthly Cash Goal you will know how well you are doing throughout the month and how well you did at the end of each month, each quarter, each six month period and each year-end. Before you know what your Percentage of Cash Goal is, we need to talk about how to establish a Cash Goal.

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*Independent results may vary and depend on payer mix and specialty.