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Complete Service: - Data Conversion of Active Patient Records
- Electronic claims submission direct to Medicare, Blue Shield and Medicaid; other carrier claims transmitted through a clearinghouse. Secondary and tertiary claims sent via CMS1500 forms with supporting documentation when required by carrier.
- Research and follow-up on rejected and delayed claims.
- Patient statements through three monthly billing cycles.
- Electronic remittance advice for Medicare and Blue Shield; others as available.
- Annual ICD-9 and CPT-4 code reviews to maximize reimbursements.
- Monthly reports (varied by practice requirements).
- Storage of superbills/encounter forms, payment documentation and correspondence.
- Patient demographic form and superbill/encounter form design (re-design).
- Fee based on percentage of collections.
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Claims Processing Only: (available to clients who choose to manage A/R in-house) - Primary claims processing as listed above. Secondary and tertiary claims submitted for additional cost.
- Claims submission report
- Fee charged per claim and payable in advance; payment to accompany claims to be processed.
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Licensing fee applicable to all new clients due to software license requirements; we do not charge set-up fees. |
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