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ENT -
Oncologist -
Primary Care -
Radiology
An absolute business requisite. Contracting and Credentialing periods can be completed in a day, week or even take upto 90 Days. We help collect, verify and submit the providers application.
Custom Fit Revenue Cycle Solutions
FORWARD BILLING AT YOUR SERVICE
We deliver high-quality and cost-effective solutions to our clients by utilizing our deep knowledge of best practices in revenue cycle management.
CREDENTIALING
ELIGIBLITY AND BENEFIT VERIFICATION
Before the patient has a visit with the provider, we perform pre-insurance verification to check eligibility of the patient. We want to ensure all patients will have valid coverage prior to services.
AUTHORIZATION
Each patient is carefully coordinated with commercial payors authorizations. Higher percentage of clinical approvals will lead to best practices of lower denials making for faster payments.
CHARGE ENTRY AND CLAIM TRANSMISSION
Our team is specialized in various specialties and with different Billing softwares. We can also manually and submit them to either the insurance provider, a clearinghouse or other claims vendor.
PAYMENT POSTING
Reimbursements from payors and Patient Payments are reconciled for each Patient encounter.
INSURANCE FOLLOW-UP(A/R)
Accounts receivable follow-ups are critical for cash flow. The billing team will be reaching out to payors via phone, fax, email, letter or online. Best practices will substantially reduce days in A/R, resulting in faster cash flow.
DENIAL MANAGEMENT
The Forward Billing team will analyze cause(s) of denials to mitigate future denials making for faster payments.
REPORTS
We provide transparent customized performance reports based on our client’s needs.
Medical Out-Patient Services
Medical Specialties
BETTER VALUE. BETTER CARE.
BEST PRACTICES
Scheduling
Make sure capturing demographic and insurance information happens at the initial contact with the patient. Verifying the information before the appointment and collecting copayments when the patient arrives will benefit your practice and the patient.
Charges and Fee Schedules
Your Medical Practice billing process starts here. Our team will make sure we are keeping your fee schedule up to date as government programs and insurance companies change their reimbursements over time. Faster entry of charges will lower your days in A/R for each date of service.
Claims and Follow-up
Claims are submitted daily without delay and follow-up is started as soon payment times from payers is exceed. Continuous communication is needed with your payors to keep your days spent in A/R down for faster payments.
Payment Posting
It is best to make maximum use of electronic systems such as electronic remittance advices (ERA’s) and electronic posting of payments. Efficiency can also be reached with smaller manual operations.
Accounts receivable management
Managing your unpaid accounts and efficiently creating work-lists to handle AR reports is key to overall success.