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
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