OUR SERVICES

The Services we offer are as follows:

• Out of Network Navigation.
• Negotiations with Data iSight, MultiPlan, and other third-party payors. We obtain the highest allowable amounts.
• Creation and maintenance of profiles in ZocDoc, Patient Pop, and other portals to generate more business by getting more hits and receiving more reviews.
• Creation of a system for tracking claims, visits, payments, billing, and collections. The system allows you to track payment history for each payment and generate reports. With these reports, practitioners can create a treatment plan based on reimbursements from the payers.
• Analysis and evaluation of a company’s procedures and financial production.
• Explanation for how to ensure that you collect payments and get reimbursed for services rendered even when checks are mailed directly to patients (BCBS / EMPIRE UHC).
• Set-up of online insurance portals such as Availity, Navinet, GHI and United Health Care and many others.
• Full explanation and benefits of working HSA, and HRA accounts as well as providing itemized bills.
• Credentialing, applying for insurance, and obtaining contracts between group or individual providers and the insurance carrier.
• Knowledge of obtaining contact with IPA’s which result in higher reimbursements. Obtaining an NPI for group or individual providers, along with obtaining commercial contracting and provider IDS. CAQH Attestation and disclosure of ownership.
• Experience in numerous practice management softwares such as ; Practice Fusion, Mod Med, Eclinical, Medisoft, EZ Claim, Athena, Centricity, GGM Alteer, T -System, Ema, MDLogic, Kareo and many others.
• Practice Audit
• Daily claims entry
• Electronic and paper claim submission
• Dedicated follow-up
• Claim correction and/or re-submission
• Government, commercial and private billing
• Weekly / monthly customized reports
• Patient statements* (soft collections, up to 3 past due notices)
• Payment posting / adjustments
• Denial management
• Tracking/claims management
• Managing collections
• Patient inquires
• A/R recovery
• Dedicated Account Manager