Physician
Credentialing
All
physician
and/or group
enrollments
with carriers
Medical
Coding
6 Full time,
Certified
Professional
Coders
Physician
feedback and
education
Code
distribution
reporting
Internal and
external
coding and
compliance audits
Scanned
Document
Management
Electronic
Claims
Submission
Primary and
secondary
electronic
claim
submission to all carriers
capable of
accepting electronic claims.
Daily claim
tracking and
confirmation
reporting
Shorter
payment
floors for
faster
reimbursement
Electronic
Remittance
Services
Patient
Billing
Refund
Management
Line Item
Posting
Professional
Collections
Service
Custom Month
End
Reporting
A/R Follow
Up
FTE’s who
are
dedicated to
obtaining
resolution of unpaid and
underpaid
insurance claims
FTE’s who
are
dedicated to
the
collection
of self pay accounts
Denials
Management
Record
Retention
Liaison With
Insurance
Carriers
Electronic
Interfaces
With
Facilities
**When
available
from the
facility**
Local IT
Support
Physician
Credentialing
All
physician
and/or group
enrollments