Billing Services

HomeWhat we doBilling Services

Revenue Cycle Management:

  • Eligilbity Verification – Ensure every patient is eligible before submitting the claim
  • Authorization – Ensure every procedure has required authorization in place before claim submission
  • Charge Entry – Ensure every charge has appropriate Date of Service, ICD, CPT, modifier combination, place of service, authorization & referring/rendering physician
  • Workman Compensation Billing – Ensure every claim has required reports, Date of Injury, Authorization/Claim number before submission
  • Payment Posting – Ensure ERA/EOB are posted accurately and secondary/patient billed
  • Denials and Rejection Follow Up – Follow up on denials within 24 hours
  • Appeal on denied claims – Appealing where required is important for prompt payment
  • Secondary Insurance Billing – Attach primary EOB for secondary payment
  • Patient Statement Generation – Ensure every patient statement is accurate
  • Daily Appointment Reminder to collect balances from patient – Inform office about daily patient balances to be collected at the time of service

Account Receivables Recovery

  • We help you collect from the old accounts.
  • We prioritize your A/R based on insurance and take up the claims which are close to Timely Filling on Priority Basis
  • We use our specialized templates for appeals on Medical Necessity

Credentialing & Contracting

  • Medicare (PECOS) Enrollment -Ensure CAQH profile is accurate before starting any credentialing process. We help with PECOS enrollment as well.
  • PPO – Credentialing – Cigna, Aetna, UHC, BS, Anthem etc
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