Base Package:

    • Revenue Cycle Management
        ◦ Claim validation / submission (EDI) including billing secondary payers
        ◦ Payment posting (ERA/EOB)
        ◦ Denial / Rejection Management
        ◦ Claims Tracking, Follow up, Appeals, Medical Records Submission
        ◦ Monthly AR report
    • Billing Software and Clearinghouse maintenance (insurance)
    • ICD system updates
    • Real time phone/email response

Bronze Package:

    • All features in Base package plus the following
    • Weekly patient balance report sent to office/Patient billing ($1 each)
    • Past due patient balance Collections and Agency reporting
    • Provider ERA/EFT set-up and paper check tracking
    • CPT Analysis, system updates and system fee schedule set-up & maintenance
    • Custom Reports (your choice)

Silver Package:

    • All features in Base and Bronze Package, plus the following
    • Coding review & advice
    • Paper/E-mail patient statements, including labor, materials and postage
    • Patient phone calls (Call center for patients with questions about their statements)
    • Pre-Visit Patient Eligibility Service (We run eligibility on your scheduled patients and report back any insurance coverage issues, including previous balance and current responsibility charges)

Gold Package:

    • All features in Base, Bronze and Silver Package plus the following
    • Accounting analysis for your insurance payment reconciliation
    • Patient appointment calls/reminder
    • Insurance Assistance (Guidance, education and assistance with any required insurance paperwork)
    • Credentialing management/assistance with any insurance credentialing/contract issues-updates
    • Front & Back Office support and coaching