Business Plan and Feasibility Analysis
Capital Asset Management
Compliance
Contracting
Credentialing
Data Analysis and Decision Support
Early Detection Screening and Teleradiology
Financial Management
Group Integration and Strategic Planning
Human Resource Management
Medical Billing and Accounts Receivable Management
Physician Compensation and Benefit Review
Practice Management
Vendor Selection
Website and Brochure Development
   
 
Medical Billing and Accounts Receivable Management

Medical Billing and Accounts Receivable Management In today’s challenging healthcare environment, medical billing requires specialized knowledge of the processes that will optimize reimbursement. MSM clients benefit from the diversity of our staff’s experience and extensive knowledge of the insurance industry, managed care environment and other third party payors claims processes.

MSM customizes Medical Billing/Accounts Receivable Management services utilizing state-of-the art technology and superior personnel to:

  • Assure charge and demographic data received is accurate and complete for claim submission.
  • Review coding, verify the diagnosis codes (ICD-9) and procedure codes (CPT) are congruent and clinically appropriate.
  • Generate claims and statements daily, confirm electronic claim receipt by payors, and identify problem batches or transactions early for quick resolution.
  • Manage cash through daily payment posting and deposits and following cash handling protocols that protect the client from misplaced payments.
  • Respond to patient telephone inquires with respect and courtesy.
  • Process payor correspondence timely and effectively.
  • Resolve outstanding accounts after thorough investigation.
  • Ensure insurance payments and adjustments are correct through contract tracking and denial review.
  • Supervise and track collection agency performance.
  • Provide flexible reporting from our data warehouse, which allows our clients to:
    • Determine and analyze trends
    • Create “what if” scenarios
    • Develop practice management strategies

 
© 2003 Copyright & Disclaimer. All rights reserved. Medical Specialties Managers, Inc.
About MSM | Services | Resources | Employment | Contact | Client Access