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    We offer to our clients very convenient packages, but above all,  peace of mind, comfort, security and the relief of having the Insurance claims handled appropriately  in a timely manner generating maximum reimbursement in the shortest amount of time. NO NONSENSE-NO EXCUSES  All accomplished within HIPAA and OIG compliance guidelines and supported with the latest and updated insurance requirements and latest technology.

We don't take vacations, we don't need training, we don't get sick, we don't charge Worker's Comp premiums, we don't take leave of absence and we don't receive medical or dental benefits.. We only get paid when YOU get paid.  NO HASSLE!, NO PAIN!!!

SERVICE PACKAGES
 

Gold Package: percent of collection of EOB's and patient payments
   √  Electronic Claims Transmission to Primary and Secondary carriers.
   √  Clearinghouse confirmation
   √  Claims Status verification and Insurance follow up
   √  Insurance Payment postings
 

Platinum Package : percent of collection of EOB’s and Pt payments
Same services as Gold plus:
   √  Accounts Receivables processing less than 60 days old.
   √  Appeal letters of claims less than 60 days old.
 

Diamond Package: percent of collection of EOB’s and Pt payments
   √  All the services of Gold and Platinum plus Management Reports included.
 

Other Services
• Eligibility Verification
• Patient statements
• Appeal letters
• Management Reports
• Remote Access
• Consultations
• CMN Processing
 

Accounts Receivables service: percent of EOB’s and Pt payments based on days outstanding.
 

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Senior Citizens Insurance Consulting Service!!!!! for a low fee your relative will receive a personal evaluation.  Please contact  Daniel Thompson at 973-442-9603.

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We need to evaluate your practice before we can accurately give you a quote of services which are negotiable and modifiable over time.
 

 EXPLANATION OF SERVICES

  • ELECTRONIC CLAIMS PROCESSING: Filing claims electronically to a clearinghouse. This is the fastest and most accurate way to file claims, with an error average of only three percent (paper claims have a 25% error incidence and a 30 day turnover rate). DME rental billing in done monthly automatically.

  • FULL BILLING: Comprising electronic or paper claims billing with follow-up on unpaid claims. Payment posting and  patient statements. Processing of denials with appeals. In some cases it will be necessary to handle patient inquiries and search for additional documentation to process claims. Charge: Percentage on total collected amount.

  • STATEMENT PROCESSING: The provider saves statements into a file, which we print and mail at a very low processing cost.

  • PAYMENT POSTINGS by Remote Access: customized remote payment postings in your system. We access your office accounting program through a VPN (virtual private network) and post payment and patient information remotely from our office.  This method ensures integrity of data between our office and yours!.

  • NEW !!!!   DIGITALIZATION AND STORAGE OF DOCUMENTS: Scanning of EOB's with conversion into a PDF file.  Subsequent storage of hard copies in a secure, temperature and humidity regulated location for the number of years needed at a very low price.

  • ELIGIBILITY VERIFICATION/APPOINTMENT VERIFICATION: This service provides verification of insurance coverage through phone calls to the carriers prior to a patient's appointment, as well as appointments confirmation.

  • OUTSTANDING ACCOUNTS RECEIVABLE COLLECTION: Processing of unpaid claims. We check the status of a claim with the carrier and do  corrective work until maximum possible payment of A/R claims is achieved. We can help you with A/R financing through a partner company. 

  • PROCEDURE AND CODE FEE ANALYSIS: Thorough study of superbills and fee schedule of the office. Updating of diagnosis and procedural codes to ensure high-specificity coding; updating fees according to national and regional average to generate and reassure maximum reimbursements. Why is this important? Consider the following: A physician charges $100.00 for a physical, but in reality, the procedure is worth $120.00. That means that he or she loses $20.00 every time a physical examination is performed. If the total number of physicals amounts to 2000 at the end of the year, then the physician has lost $40,000.00 on just that procedure alone!

  • CUSTOM REPORTS: Day sheets, aging and analysis reports, ledgers and statements, and others. Charge: Determined upon consultation with a Corporation Representative.



  • SOFTWARE TRAINING: We are trained in Medisoft , Medical Manager, Soft-Aid, Health Pro, Practice Works. Compulink and EBS. We can train in Medisoft and Medical Manager.

  • CHART AUDITING: Auditing of patients' charts to ensure proper documentation, proper completion of progress notes, proper matching of diagnoses with procedures.

  • PRACTICE MANAGEMENT CONSULTING: We provide management advice, and problem solving strategies for the practice, as well as staff training. This service is customized to fit the specific needs of your practice.
  • REMOTE ACCESS: With your own ID and Password you will be able to review the progress of your billing, view reports and check on patient's balances from the convenience of your own office through a dedicated server and a specialized program which allows you to log into our secure database.
  • HIPAA COMPLIANCE EDUCATION: Training in HIPAA compliance regulations (security and privacy) and updates.
    -   HIPAA Gap Analysis: Please consult a Company Representative for more information.
For other services including mailing lists, collections, and review of physician-insurance contracts, please call the office at 973-442-9603 or 1-877-4-MEDBILL.

FOR FULL OR ELECTRONIC BILLING WE OFFER VOLUME DISCOUNTED RATES:
--------------------- When a client submits 300 claims per week or more: ------------------------
Electronic Billing: $1.00 (per claim) off the processing fee.


Disclaimer: We use one the most recent version of Medisoft  and Soft-Aid (DME Office) which are fully HIPAA compliant.  We work solely under contract which saves our consumers funds which would otherwise be employed in staff training, long-term benefits, staff salary increases, equipment, office supplies, turnover nuisance, etc. Many practices receive numerous benefits from outsourcing with companies like ours.

OUR GOAL IS TO KEEP OUR CLIENTS HAPPY AND SATISFIED TO THE BEST OF OUR ABILITIES AND WE WILL TRY TO ACCOMMODATE YOU AND YOUR PRACTICE TO THE PLANS THAT BETTER MATCH YOUR NEEDS.

"If you're not faster than your competitor, you're in a tenuous position, and if you're only half as fast, you are terminal".                                        GEORGE SALK

Services are current as of 8/30/05, we deserve the right to modify them occasionally  without notice. Please check with a Corporation Representative for an update before requiring them. The most recent pricing list is discussed and negotiable at contract closing.