Scheduling

  • Pre-certification
  • Pre-authorization

Charge Entry

  • Coding (ICD, CPT, HCPCS, CCI Edits, Modifiers)
  • Coding Audits
  • Charge Entry

Payment Posting

  • 837 File Processing
  • Payment Batch Creation
  • Cash Log Balancing
  • Primary Payment Posting
  • Secondary Payment Posting
  • Self-Pay Payment Posting
  • Zero Payment Posting
  • Monthly Statistical & Financial Reporting

Miscellaneous Services

  • Master File Maintenance
  • Third-Party Payer Contracting
  • Finance & Accounting
  • Compliance Hotline Monitoring
  • Clinical Trials
  • Data Management
  • Specialized Reports
  • OoN Claim Negotiating
  • Payer Contract Negotiations
  • Audit Reviews
  • Practice Management
  • Expert Witness in Legal Cases

Registration

  • Patient Demographics
  • Insurance Registration
  • Insurance Verification
  • Coordination of Benefits
  • Obtaining Referrals

Claims Submission

  • Batch Submission Formatting
  • 835 File Processing
  • Review & Correct System Edits
  • Review & Correct Clearing House Edits
  • Review & Correct Payer Edits
  • Claim Resubmission w/ Payer-Requested Documentation

A/R Follow-Up

  • Un-Adjudicated Claims Follow-Up
  • Not-On-File Claim Resubmission
  • Denials Management & Clarification
  • Coordination of Benefits
  • Appeals Management
  • Underpayment Appeals
  • Secondary & Tertiary Appeals
  • Unadjudicated Claims Calls
  • Medical Record Submission

Patient Statements

  • Payment Plan Creation
  • Re-call reminders
  • Appointment Reminders
  • Pre-Collection Processing