| SEVICES OFFERED | DESCRIPTION |
|---|---|
| Credentialing & Re Credentialing | 1) Credentialing & re credentialing for all Insurances 2) upadate every three months |
| Eligibility | 1) Check prior eligibility for all scheduled patients 2) Upadate Demographics Detail for all patient. 3) Provide missing Demographic detail for patients. |
| Gateway Rejection | 1) Review the clearing house rejection log and resubmit. 2) Inform Doctor office of any missing/required information. |
| Charge Entry | Create the charges and submit them. |
| Payment Posting-ERA/EOB/EFT | 1) Post ERAs.If it is auto post by doctor system than,we review all ERAs and post it. 2) REceive scanned EOBs from doctor office and post it. |
| Payment posting - patient checks / co-pays / Deductibles | 1) office staff to send the copies of any payment received from patient in our office or our mail.also provide list of credit card transactions. 2) Post the patient checks,Co-pay/Deductible. |
| Secondary claim submission | send secondary claims once a month to respected client office. |
| A/R Rejection & follow up | 1) Work on daily denials from ERAs & EOBs. 2) work on 60,90,120 &180+ aging 3) send any appeal request if required |
| Reporting | 1) Send weekly or daily report to show the charges entered,payments received. 2) Send Monthly A/R report.Mark the payments pending from insurance. 3) Daily Denial Report every Month. |
| Additional Services | |
|---|---|
| Prior Authorization | Take Prior Authorization for specific Medical Procedures,MRI,CT Scan or Diagnostic Radiology |
| Medical Home and Meaningful Use | Provide complete guidance for Medical home through NCQA. |
| Prescription Authorization | Take Authorization for specific Medical Procedures,MRI,CT Scan,Diagnostic Radiology, or therapy services. |
| Medical Records Management | Send or recieve Medical Records as per Doctor office requirement. |
| PQRS Reporting | We guide Doctor office for accurate PQRS reporting for incentive and help them from paying penalty. |