Health Care Providers have found that they can lower their cost and secure a higher reimbursement. Our billing service has people that are dedicated to the sole purpose of billing and collecting for health care services. Our billing service deal on a regular basis with most providers. Our medical billing service has effective systems in place that insure quick and accurate response to the reimbursement issues. Our billing service is able to systematize the entire operation, and spread the costs and processes over a large number of clients. Our medical billing service has coding specialists, computer specialists, insurance specialists and other dedicated to follow up.

Many providers lose an inordinate amount of money from three areas. One, rejected claims because they fail to do timely follow-up. Two, down coded claims - claims that the payer reduces the level of service coded to a lower category. Three, payers that don’t pay according to contractual terms.

Our billing service has a system in place that puts a rejected claim back into the collection cycle within 24 hours. If a claim needs correction to be paid, it is then corrected and resubmitted. If the claim needs to be billed to another payer, including the patient, it is done immediately. If a consistent problem is uncovered that causes multiple rejects, the proper training is initiated for either our personnel or yours as applicable.

All claims are monitored to determine if the proper codes are being billed and if the payers are paying according to accepted standards. If documentation is such that the codes are not supported, an improvement program for documentation is undertaken and/or a correction in the coding is accomplished.

Our medical billing service monitors all reimbursements against the details of the original contract. Our billing service also does specific analysis on reimbursement versus your cost factors. Our billing service can do an evaluation of a contract prior to signing for our clients, if desired.

DUN & Bradstreet did a study of outsourcing and found that “More companies than ever are establishing strategic partnerships that give them access to specialized expertise in critical business functions.” A large number the respondents reported that “...the do-it-yourself attitude that most companies hold regarding most functions is insufficient in today’s new market place.” The study also found that the companies that “utilize outsourcing are more financially stable than are those that do not.”