Calculated increase in collections in the first few months
97% claims paid on first submission
Significant reductions in A/R days
Sharp reduction in denials (No financial disruption due to ICD-10)
Transparent procedures and charges
24/7 web-based access
Ophthalmology multi-specialty expertise
Complete HIPPA Compliance
1. PATIENT REGISTRATION
2. PRACTICE CODING
3. CHARGE ENTRY
4. CLAIM CREATION, REVIEW AND SUBMISSION
5. CORRECT AND REPROCESS REJECTED CLAIMS
6. POSTING OF INSURANCE PAYMENTS
7. DENIAL MANAGEMENT
8. ACCOUNT RECEIVABLES
9. PATIENT STATEMENTS
11. MONTHLY/QUARTERLY REVIEW AND REPORTING
12. PRACTICE ANALYSIS CONSULTING
An account manager will be assigned to your practice. Our account managers with our follow up team have extensive experience in the optometric and ophthalmic medical billing industry and are well versed in the coding processes. In addition, several account managers are certified coders.
Payments are posted directly into your practice management software daily, so you have accurate and up-to-date accounts at all times.
We file all insurance claims marked for submission, checked for accuracy and verify receipt of claims with insurance companies. Once claims are filed electronically, they are typically paid in less than two weeks versus 60-90 days.
We analyze unpaid claims and EOBs to correct and reprocess rejected claims to recover the amount due. Aggressive insurance follow up is our specialty by appealing the denial. Making sure your practice is reimbursed at the proper rate.
Your personal biller provides you with financial reports daily so you can see the activity and work completed. Monthly review and reporting of customized reports for a detailed picture of your practice’s financial health. Quarterly personal meetings with your billing manger to address any questions.
We analyze your fee schedule and payer mix to help you make decisions so you can maximize your insurance payments.
Assist with credentialing of new providers. In addition to current providers are consistently re-credentialed for new plans and re-credentialed for old plans.
Patient point of contact for billing and inquiries, there is always an answered call, no voicemail.
Systematic and timely focused.
If needed we can provide your practice with a team to follow up and work the old accounts receivable to help recover lost revenue.
Meet with front desk to train or retrain based on issues we encounter for your billing needs. (ie. verifying insurance eligibility, prior authorization, proper referrals, plan participation, proper modifier use)
220 East 19th Street
New York, NY 10003