Comprehensive revenue cycle management

Our company works on the basis that claim errors are avoidable. Our commitment is to improve the revenue of the healthcare facilities with our extensive expertise in healthcare billing services

“Jim Lennie served as CFO for a company (mobile x-ray and ultrasound), he and I developed essentially from scratch going from zero revenue on day one to an annual revenue in excess of 4 million dollars in a few short years. Jim was always there for me through every contract negotiation with the nations premier Healthcare Management Groups. ”
Arnie Morse
Dir. of Business Development at Atlantic Mobile Imaging Services
Specialty Imaging Services (AMIS/SIS)

your medical billing services

Management of Physician Charges

We accept the charges in the format your practice is comfortable using including super bill, chit notes or electronic interface. If incorrect or omitted charges are discovered, your practice will be contacted for authorization to make changes.

Insurance follow up

Our follow up reports allow us to keep track of each account and the status of each claim. We are in continuous communication with the insurance carriers to solve any delays issues with unpaid claims.

CPT fee schedule structuring

We will help your practice establish your uniform (usual and customary) CPT fee schedule prior to beginning billing (if needed). Your fee schedule will be entered into our computer system, which will recognize variance. Allowable schedules for major, high volume carriers where reimbursement is mandated or contracted are recognized by our system. Fee schedule consultation and recommendation is included in our base pricing structure.

Customer Service

We provide incoming telephone service for your patients and insurance carriers. All lines are answered very professionally “Billing Office”. This incoming telephone number is printed on all patient statements, thereby minimizing billing calls to your practice. We also provide a toll free line for patients located outside our exchange.

Patient Statements

Regular monthly statements are generated and mailed on the 15th (or the closest working day). If we do not receive payment or a telephone call within 30 days of sending a statement, the patient is placed into follow-up status. Follow-up status places the account on our internal Patient Account Follow-up report. We will then make several attempts to reach the patient by telephone. This gives patients a “last chance” to make arrangements to settle their accounts prior to our recommending collection company intervention.

Reporting

The standard MONTH‑END REPORTS includes: MTD/YTD Transactions Reports, MTD/YTD Charges Report by Provider, Accounts Receivable Analysis, Aged Accounts Receivable. Several additional reports are available upon request. Virtually any report using our existing database can be developed for your practice and provided on a one‑time or regular basis.

Audit BILLING resolution

Should your practice receive notice that you are being placed in a “pre-payment” ZPIC (Zone Program Intergrity Contractor), MAC (Medicare Administrative Contractor) or RAC (Recovery Audit Contractor) billing audit, you will need a team of experienced professionals on your side.  We have worked closely with CMS on numerous occasions and can provide the necessary tools to navigate the coding and billing audit process.

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