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Department B provides a suite of revenue cycle management services delivered by our highly-trained healthcare experts.

/ Credentialing and Enrollment /

Keeping up with provider credentialing and enrollment requires a careful attention to details. We build and maintain a database of information about your providers. We then use this information to thoroughly review and negotiate contracts with payers, file all necessary forms with payers and government agencies, and enroll your providers in electronic claim submissions and remittance services. After setup, we provide ongoing management of credentialing and enrollment so you never miss a deadline that could lead to reimbursement denials.

/ Superbill and Fee Schedule Development /

Optimized reimbursement begins with charge capture. That’s why we review your existing fee schedules and make recommendations based upon our national benchmarking resources and operational experience. We then create final fee schedules, load them into your software, and prepare and print your Superbill forms. We also periodically review and update your Superbills based upon the latest coding standards and changes in your practice. This helps to ensure accurate charge capture and maximized reimbursement.

/ Medical Coding and Compliance /

A disciplined compliance program is essential to mitigating the substantial business risks associated with non-compliance. We provide our medical coding staff with regular training so they remain experts on the latest coding standards. We develop compliance programs for you focusing on four major risk areas: coding/billing, reasonable and necessary service, documentation, and improper inducements. We develop a HIPAA compliance program to help you safeguard patient information. We also administer periodic chart audits and provide routine coding assistance. Our focus is maximizing revenue while maintaining the highest level of compliance.

/ Medical Billing and Collections /

Our experienced medical billing team administers all medical billing and collections on your behalf. We help you setup a lock-box for expedited payment posting and processing. We send electronic claims to all government and primary private payers. We print and mail all patient statements. We receive electronic payer responses, setup payer deposits via electronic funds transfer, and post electronic payments immediately. We are also experts in satisfying the additional documentation requirements of payers nationwide.

/ Accounts Receivable Management /

The key to successful account receivable management is follow-up and follow-through. We track and immediately follow-up on all insurance denials. We track actual versus expected (contractual) reimbursements and follow-up on all underpayments. We answer inbound billing inquiries by patients to ensure timely collection of any unpaid balances. This ensures the timely recovery of your valuable receivables.

/ Reporting and Benchmarking /

Achieving the highest levels of financial performance for your medical practice requires continual review of key practice metrics. That’s why provide real-time reporting that gives you full transparency into the back-office functions we administer on your behalf. We provide more than two dozen reports that are accessible 24x7. You can customize security levels to provide different levels of access to your staff. We also compare your reports to national and regional benchmarks. This helps you measure the bottom-line.