Review and assist in development
of practice encounter form
Review CPT and ICD-9 procedure
and diagnosis codes
Review fees
OPERATION
Receive and input all transactions
of service
Bill all primary and secondary
payers and patient responsibility
Follow up with insurance carriers
on nonpayment issues
Receive all patient billing
telephone inquiries
Handle all carrier inquiries
and questions
Bring accounts to pre-collection/collections
status
Conduct regular client meetings
to resolve issues
Maintain interactive communication
with client
CLIENT RESPONSIBILITY
Provide all necessary demographic
patient data
Provide copies of insurance
cards and billing information
Provide clear designation of
services and diagnoses
Provide open lines of communication
to resolve issues
Provide level of service &
reason for service
B.E.S.T. REPORTING FUNCTIONS
Preparation of day sheets to
show charges by date
Preparation of payment reports
Preparation of monthly reports
that show: Charges, Payments, Adjustments and Accounts Receivable
by clinician, location and carrier to provide management data
to practice to analyze income streams, productivity, etc.
Preparation of specialized
management reports to show patients by age, sex and zip code,
diagnosis analysis, referral patterns, number of visits by and
procedure analysis by practitioner.