Our Services

How We Can Help You

Opening up a new clinic? We understand how daunting it is to select the right management software platform from the beginning. We can help select the right management software platform for your new clinic that benefits you as a whole.

If you are an existing clinic that is experiencing problems with your current management software platform, we are here for you. We can help you find the right software for you that is right fit for your practice. We are here to assist every step of the way by filling out forms, getting credentialing, enrollment, contracting, and more.

Know More About Us

Medical Accounts Receivable Management & Consulting

Working with many therapy management platforms. Let us know what software platform you are using. Also assisting private practice and businesses that specialize in speech therapy, physical therapy,

Be Pro-Active:

To be successful in ensuring your reimbursement and a smooth process, teamwork is needed between your office and ours. The items listed in this section are processes that the clinics can adopt to allow us to be more effective at making sure they are paid promptly for their service.

Obtain complete and accurate demographic information up-front
One contact phone number is 'never enough
Check eligibility and benefits
Obtain authorizations
At each encounter, ask the patient which insurance carrier you will be billed for the service
Obtain Work Comp Adjuster contact information prior to the appointment and call to verify compensability of the claim
Obtain attorney information for TPL and W/C claims
Obtain copies of the patient's insurance card
Adopt a "Pay-Today" Program - Collect co-pays, co-insurance, and deductibles at the time of service for commercial claims.

Our Process:

We believe in the importance of starting with a clean claim to reduce lost time and money. Charges are reviewed by certified coders, prior to claim submission, to insure proper CPT codes, modifiers and diagnosis codes are used.
We review claims for proper payment and process reconsiderations and appeals daily.
Outstanding insurance claims are reviewed frequently and follow-up on any unprocessed claims. Our attention to detail allows us to keep our Insurance A/R for claims outstanding over 120 days (for all clients combined), below 6.9%. Our persistence ensures you are receiving maximum reimbursement.
Outstanding patient accounts are reviewed monthly which helps us promptly identify those problem accounts that are difficult to collect. Our average collection rate for all clients combined is 98.64%.

WE TAKE AN ACTIVE APPROACH TO MEDICAL CLAIMS MANGEMENT

Processing claims on a daily basis. Utilizing a clearinghouse to process electronic claims and include visit documentation for worker’s compensation and third-party liability claims.
Audit all paper EOBs and ERAs to ensure proper payment and follow-up on incorrectly processed claims.
Use a practice management software that will allow you to enter reimbursement schedules for your contracted carriers so fee schedule-related reimbursement issues can be easily identified
Utilizing Insurance Payer Portals whenever possible to submit reconsideration requests and documentation requests for denied claims. This reduces hold times when contacting payers which allows us to touch more claims that need attention.
Awareness of Timely Filing requirements for all insurance payers.

SPECIALTY BILLING AND REVENUE CYCLE MANAGEMENT FOR PRIVATE PRACTICE - PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIY CLINICS

If you are thinking of starting up a new physical therapy clinic, contacting us would be a great place to start. We have the knowledge and experience in starting clinics from the ground floor. Let us worry about provider credentialing and enrollment, selecting the appropriate practice management software, software implementation planning, and staff training while you worry about growing your practice.

If you have an existing practice and are contemplating out-sourcing your patient accounts, it makes sense to contract a company that has vast experience in physical therapy billing, occupational therapy billing, and revenue cycle management. We have managed clinics from large to small, and we are prepared to grow with you.

With our experience using several different practice management systems, we can provide you with some valuable insight into the pros and cons of selecting the appropriate software for your practice.

Our Services

Electronic Claims Submission
Patient Statements
Payment Posting - ERA, Insurance Checks, and Patient Payments
EOB Auditing and Follow-Up to Ensure Accurate Reimbursement
Eligibility and Benefit Verification
Insurance Authorization
Work Comp Utilization Review Assistance
Monthly Reporting
Staff Training and Implementation Services
Credentialing and Enrollment Services
Application of TPL Liens

HOW WE CAN SAVE YOU MONEY

Our revenue cycle management and billing service processes ensure prompt and accurate payment for your services preventing lost revenue.

Reduced Practice Management Software Fees (When Applicable)
Payroll and Payroll Tax Expense
Other Employee Benefits
Training and Implementation
Computer Hardware
Reduced Practice Management Software Fees
Postage
Electronic Claims and ERA Fees
Office Supply Expenses - Claim Forms, Envelopes, Paper, etc.

How We Save You Time

Pre-Scrubbing of Charges to Prevent Denials
A/R Management
Courtesy Collection Calls to Patients
Patient Questions Regarding Billing and Insurance
Human Resources – Reduced Payroll Processing and Tax Reporting, Employee Retention
Staff Training
Follow-Up on Improperly Paid Claims
Documentation Submission with Work Comp and TPL Claims
Attorney Correspondence Management for W/C and TPL Claims
Employee Training and Implementation