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From charge entry through analysis of reimbursement, we handle the entire billing process. All patient and insurance-billing related calls come directly to us. We make sure you're paid quickly and properly, according to your contracts and fee schedules.
Claims Management Effective accounts receivable begins with proper coding. Claims are reviewed for proper order and placement of CPT codes and modifiers. Follow-up is performed by insurance specialists, each dealing with specific insurance carriers. Your claims are tracked until they are paid. Every payment is checked against the carrier's fee schedule.
Appeals Our specialists are experts in the appeals process. We often receive additional payment on appeals for: under coding, nonpayment of E & M (evaluation and management) codes, secondary procedures considered incidental to the primary procedure and incorrect allowances as compared to the published fee schedule
Patient Relations MCC handles all patient-billing inquiries. We provide our contact information on all patient statements and are happy to respond to patient inquiries regarding managed care policies and procedures. Our goal is to maintain an excellent provider/patient relationship while ensuring you receive payment.
Summary of Billing and Collections Services
- Review/correct CPT & ICD-9 Billing and Collection Standards
- Post all patient charges, payments, and adjustments
- Submit electronic claims to most commercial carriers
- Generate and mail all paper claims
- Resolve all billing inquiries from patients and insurers
- Assume costs relating to billing, including postage and correspondence
- Generate and mail patient statements for all open accounts
- Monitor and track insurance denials and payments
- Provide follow-up for all "slow payment" patients, insurer denials, claims research and resubmissions
- Generate and mail collection letters and follow-up with past due accounts
- Process all assigned receivables (Adjustments, Contractual Allowances, Refunds, etc.)
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Billing and Collections
MCC OnDemand
Consulting
New Integrated EMR Solution
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