From us, you can expect the following:
We offer different services to meet your billing and utilization review needs.
Billing
Billing Service
- Run Verification of Benefits (VOB) and communicate client cost-share requirements and estimated reimbursements.
- Continuously audit treatment documentation for claim submission.
- Submit claims weekly.
- Follow up with payers weekly for payment.
- Aging claim follow up for up to 365 days (1 year) prior.
- Past claim cleanup services for up to one calendar year.
- We work with you to establish and maintain a shared tracking system that will allow us and to share information on claims in real time.
- Obtain and review authorization for treatment.
- Perform concurrent reviews per treatment episode per client.
- Perform peer-to-peer or doctor reviews as required.
- Perform quarterly documentation training for Client treatment teams.
- Perform weekly documentation quality checks/audits for compliance adherence.
Utilization Review Service
Other Services Offered
- Full Revenue Cycle Management services available
- Insurance Credentialing
- Invoicing
We care differently
Our team understands that your billing/UR solutions are the life-blood of your company... We take that very seriously!