Services

Demographics, Super bills, Insurance
Latest Codes
Quality Control
 
Claim validation (LMRP, CCI, local rules)
Automatic Patient Eligibility & Authorization prior to visit
Modifiers / Coding correction
Report unbilled encounters
Claim Submission to over 1300 Payers
Payment Posting
Electronic Remittance Advice
Electronic Fund Transfer
Patient Statement & Collection Follow- Up
 
Underpayment Analysis
Secondary & Tertiary Insurance Billing
Real-time EOB analysis
Denial follow-up
A/R follow-up
Collection
Real Time Transparent Reporting
   
Do you have difficulty in?
Keeping current with insurance specifications and regulations, so that claims are paid on a timely basis.
Concentrating on collecting receivables and co-payments.
Ensuring that fees were kept at the maximum allowable insurance carriers were paying.
Maintenance of computer hardware/software.
Ensuring that Procedure codes are current so that claims aren't suspended or rejected.
Meeting your cash goals.
Managing your post payment audit risks.
Staff turnover...Training and re-training, absenteeism
 
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*Independent results may vary and depend on payer mix and specialty.