There are so many benefits that we can't help but wonder, why not outsource? Allow us to give you peace of mind just knowing that your medical billing is being handled by professionals who will get the job done right. By outsourcing you won't have to juggle billing problems with all the other duties you have to attend to in your medical practice.

Our billing team is expert at filing and capturing payment for claims. We have the experience and knowledge to get the revenue owed to you. We take the time to follow up on all unpaid claims and capture thousands of dollars in unclaimed revenue.

Our billing team provides the following:

Posting of charges and daily electronic claims submission

POSTING CHARGES: We post and submit your charges daily to ensure that your practice maintains a constant flow of revenue.

1. Our expert charge team reviews all office and hospital charges for completeness, accuracy and conformity. Incomplete or incorrect claims result in timely delays.
2. We provide you with CPT, ICD-P and HCPCS coding expertise to ensure maximum reimbursement from accurately coded claims. We stay on top of all procedural and coding changes and updates.
3. We update all patient demographics and insurance, and maintain insurance contact information.
4. We utilize a courier service and FedEx for the rapid receipt of your paperwork. The faster we get it, the faster you get paid!

ELECTRONIC CLAIMS: We submit claims electronically through our electronic clearing house RealMed using Electronic Data Interchange (EDI), eliminating substantial delay in claims processing.

1. Electronic claims submissions guarantees the fastest rate of payment for your claims. Insurance companies give priority processing to electronic claims rather than paper claims.
2. Claims are subject to a two level scrubbing process, through RealMed, then at the insurance company. Claims that are incomplete or incorrect are rejected, returned to us immediately and can be fixed right away and resubmitted.
3. Immediate claim acceptance and receipt for tracking. No more "lost" claims and no more timely filing denials.
4. Real time transactions including immediate eligibility verification.
5. Claim follow up is also done through RealMed eliminating having to wait 30 days or more for a paper EOB.

Posting of all EOBs and unpaid Claims Follow Up

POSTING EOBS: We carefully scrutinize each Explanation of Benefits and Payments from the insurance companies and adjust each account accordingly. We post all payments, calculate write offs, coinsurance and deductibles.

1. Our expert patient and insurance payment posting team enters in payments on a daily basis.
2. We review each Explanation of Benefits very carefully to ensure each claim was processed properly. Claims are frequently under paid by the insurance companies and we are trained to evaluate payments for maximum reimbursement.
3. Write offs, coinsurance and deductibles are calculated and allocated appropriately, and we bill patients immediately upon EOB posting.
4. Once EOBs are posted, your claims are immediately turned over to our follow up team for pursuit.

CLAIMS FOLLOW UP AND APPEALS: Claims are followed up systematically and quickly. We diligently pursue your claims for maximum reimbursement and appeal your denials.

1. Our expert follow up team aggressively pursues all unpaid claims. EOBs and claims are assessed and prioritized, and handled on a claim by claim basis.
2. Claim denials are always handled by an appeal. Once the denial is evaluated, we utilize our appeal process to handle incorrect claim denials. Claims are never written off without being appealed first.
3. Follow up is handled utilizing our electronic clearing house, insurance websites and direct contact via telephone. We are experts at getting through to the insurance companies to dispute improper denials and slow payments.