Billing and Accounts Receivable Management

Claims Tracking & Payment Verification

Effective accounts receivable (A/R) begins with proper coding. Your claims are checked for proper order and placement of CPT codes and modifiers. All procedures and claims are tracked using computerized A/R software. Consistent, thorough, detailed follow-up is performed by insurance specialists, each dealing with select insurance carriers. Their daily involvement with the same insurance carriers has enabled our specialists to develop contacts and rapport that help speed the payment process. Your claims are tracked until they are paid. Every payment is checked against the carrier's fee schedule. Our specialists are expert in the appeals process.

Additional payment is often received on appeals for:

• downcoding.
• nonpayment of E & M (evaluation and management) codes.
• assistant surgeons.
• unusual procedures requiring modifier 22.
• secondary procedures considered incidental to the primary procedure.
• incorrect allowances as compared to the published fee schedule.
• numerous others.

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