Medical Billing Options

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.

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.

Licensing fee applicable to all new clients due to software license requirements; we do not charge set-up fees.