SERVICES

• Charge, Demographics, and Payment Posting
• Coding
• Quality Control
  • Claim validation (LMRP, CCI, local rules)
  • Patient eligibility testing in real time
  • Discovery of undercoding
  • Elimination of unbilled encounters
• Claim Submission to Payers
• Electronic Payment Posting
• Patient Invoicing
• Follow Up
  • Underpayment discovery
  • Real-time EOB analysis
  • Denial followup
  • A/R followup
• Collection
• Transparency, Analysis and Reporting

BENEFITS

• Improved Remittance Rate (10%-20% above national average)
• Positive Cash Flow
  • 50% of claims paid in 30 days
  • 5% of A/R later than 120 days
• Total Reliability
  • Systematic Quality Assurance 24 x 7
  • No labor downtime with our large pool of certified billers
  • No system downtime due to local computer or software crashes
• Assured Compliance
  • HIPAA, LMRP, CCI
  • Payer-and practice-specific data validation
  • Post-payment audit risk management
• Improved Control
  • Billing Integration with Practice Workflow
  • Full and detailed 24x7 account of all actions on every claim
• Guaranteed Security, Privacy, and Availability
  • Data protection with state-of-the-art data center and disaster recovery facilities