Claims Submission/Payment Posting
- Claim Creation
- Quick Electronic Submission of Claims
- Immediate Claim Error Identification
- Line Item Payment Posting
- Identifying Underpaid Claims
- Secondary Insurance Billing
- Identify and Return Overpayments
Patient Collections
- Timely Patient Statements
- Incoming Patient Collection Calls
- Soft Collections
Denial & AR Management
- Timely Denial Management
- Appeals
- Average Days in AR <45
Monthly Custom Reporting
- KPI Dashboard Report
- Accounts Receivable
- Payment Analysis
- Referral Analysis
Workflow Processes & Procedures
- Evaluation of Charge Capture Process
- Evaluation of Charge Capture Tools
- ICD and CPT Code Analysis
- Fee Schedule Review and Analysis
Contracting & Credentialing
- Credentialing with all Payors
- Contracting and Rate Negotiation
Compliance Plan & Policies
- Compliance Risk Analysis
- Compliance Plan
- Compliance Policies & Procedures
- Fraud & Abuse Education (Mandatory)
- OIG/GSA Sanction Screening
- Ongoing Auditing & Monitoring
- Corrective Action & Education
HIPAA Policies & Education
- HIPAA Privacy & Security Risk Analysis
- HIPAA Policies and Procedures
- HIPAA Education
- Monitoring Compliance with HIPAA
Meaningful Use & PQRS- Now MIPS
- Assistance with Understanding MIPS
- Assistance with Compliance to Avoid Penalties