Detailed insurance verifications are completed following initial evaluation and prior to delivery of services.
Electronic submission of claims when payer availability permits to ensure prompt claim handling and payment.
Provider education on documentation requirements included for billing clients. Web-based provider education on documentation and billing compliance available on a consultation basis.
Prompt and detailed claim follow-up practices to ensure timely claim payment. EDI reports received daily to quickly identify claim errors early and promptly handle resubmissions. Following confirmation of claim receipt, all claims are followed up routinely every 15 calendar days until proper payment is received and posted.
Obtain all necessary prior authorizations and review for accuracy.
Claim appeals with a proven record for success! Experienced with all levels of Medicare appeals including Medicare ALJ and Appeals Board.
Review all coding and medical documentation prior to claim submission.