We offer a complete billing solution:
- Create, submit, follow-up and post reimbursement.
- Bill patients and handle patient inquiries
- Advise customers on strategies or procedures that can increase collections and compliance with government mandates.
- Manage all patient and other data in compliance with government mandates.
- Provide customized management reporting designed to improve financial performance and contract negotiation outcomes.
- Flexible statistical reporting
- Productivity tracking
- Coding reviews
Please review our performance-based services and together lets meet those ends.
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Accounts Receivable Management:
• Coding
• Billing
• Claims Processing & Follow-up
• Payment Processing
• Lockbox Services
• Secondary/Tertiary Claims Mgt.
• Internal Controls
• Electronic Claims Mgt.
• Paper Claims Mgt.
• Daily, Weekly, & Monthly Reports
• Audits
• Patient Statements
• Software and Network Solutions
NEW PRACTICE CHECK LIST
Financial Considerations
| | |
1.
| Prepare and present pro-forma financial package & obtain financing (Mini Business Plan). |
2.
| Decide on business format. |
3.
| Secure tax identification number (s). |
4.
| Contract for legal services. |
5.
| Contract for accounting services. |
6.
| Secure business checking account (s). |
7.
| Formulate fee schedule. |
8.
| Contract with selected third party payors.
Facilities & Design
| | |
1.
| Determine space needs. |
2.
| Locate available space. |
3.
| Negotiate lease. |
4.
| Attorney review lease. |
5.
| Secure floor plan and or space plan. |
6.
| Arrange telephone service |
7.
| Arrange for utilities. |
Professional Consideration
| | |
1.
| Medical Society Membership. |
2.
| Local specialty group memberships. |
3.
| Secure hospital privileges. |
4.
| Secure relief coverage. |
5.
| Secure telephone directory listings. |
6.
| Secure County Medical Society directory listing. |
7.
| Have business card printed. |
8.
| Visit referring physicians. |
9.
| Design and printing of announcements. |
10.
| Mail announcements. |
11.
| Secure DEA registration. |
Insurance
| | |
1.
| Secure agent(s). |
2.
| Malpractice insurance. |
3.
| Casualty Insurance. |
4.
| Accounts receivable. |
5.
| Office liability. |
6.
| Non-owned auto. |
7.
| Fidelity bonding for employees. |
8.
| Property. |
9.
| Umbrella liability. |
10.
| Workman’s Compensation. |
11.
| Auto. |
12.
| Personal property |
13.
| Health. |
14.
| Disability. |
15.
| Life. |
Medical Equipment & Supplies
| | |
1.
| Develop list of medical equipment. |
2.
| Submit list for bids |
3.
| Order equipment. |
4.
| Check plans for equipment and special requirements. |
5.
| Develop list of medical supplies and drugs. |
6.
| Schedule meetings with drug reps. and secure samples. |
7.
| Order drugs and supplies. |
8.
| Secure clinical patient education information. |
9.
| Oversee installation of medical equipment. |
Office Equipment & Supplies
| | |
1.
| Develop list of office equipment and furnishings. |
2.
| Submit list for bids. |
3.
| Order equipment and furnishings. |
4.
| Develop list of office supplies. |
5.
| Price compare supply vendors. |
6.
| Order supplies. |
7.
| Secure service contracts on major equipment.
|
8.
| Necessary printed items:
a)
| Letterhead & envelopes |
b)
| Prescription pads |
c)
| Patient registration forms |
d)
| Patient history forms |
e)
| Patient progress sheets |
f)
| Record of surgery |
g)
| Medication record |
h)
| Lab report forms |
i)
| Patient Information Brochures |
j)
| Medical records releases
|
|
9.
| Order medical records system:
a)
| Filing cabinets |
b)
| Charts |
c)
| Color Coding supplies |
d)
| Purging system |
e)
| Outguides |
|
10.
| Secure insurance claim forms. |
11.
| Secure magazine subscriptions for waiting room. |
Personnel
| | |
1.
| Determine personnel needs. |
2.
| Recruit applicants. |
3.
| Screen applicants. |
4.
| Interviews. |
5.
| Check references. |
6.
| Conduct background checks. |
7.
| Prepare personnel policy manual. |
8.
| Prepare job descriptions. |
9.
| Decide pay levels. |
Implementation & Installation of Systems
| | |
1.
| Appointment scheduling |
2.
| Billing System/Billing Service. |
3.
| Internal controls.
a)
| Petty cash fund |
b)
| Change fund |
|
4.
| Formulate operations policies and procedures. |
5.
| Advertising. |
|
|
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| The Procedure:
• Coding (CPT, ASA, ICD-9, HCPCS and Modifiers)
• Start/Stop Time Verification
• ASA Unit Assignments
• Concurrency Assignments (Direction & Supervision)
• Labor Epidurals
• Acute, Chronic Pain Mgt.
• Contract Reviews/Negotiations
• Reimbursement Audits
• Encounter Sheet Development/All Specialities
• Billing Paperwork Exchange Management |
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