I may be able to provide assistance on a temporary basis or a consult basis depending on your needs.
Billing Simplicity will provide a flexible system to you that is HIPAA compliant, approachable and allows you to understand insurance (to the extent you want to), keep track of client visits and payments made by both insurances and your clients. If you require more guidance (or less), I will customize my services for you. I look forward to helping you simplify, expand and see more patients, all while ensuring you are compensated fully for the valued work you do.
Use of HIPAA Compliant Standards
Insurance Verification Insurance verification is the first and, one could argue, the most important step in the medical billing process. Every client comes in with a different policy with different rules. You can reduce financial surprises for your clients by providing estimated fee quotes in advance and ensuring coverage for your services. This step by itself will assist in your ability to recoup all payments for services rendered.
Insurance verification includes:
Patient policy deductible and out-of-pocket responsibility
Co-insurance and co-payments
Benefit limits
Reimbursement estimates
Pre-authorizations
Contracting with Insurance Carriers Begin the process toward joining insurance networks and reduce your stress by handing this over to Billing Simplicity. I will walk you through the steps and ensure that the insurance carrier is moving forward with the credentialing and contracting process. You will receive communication as the process moves forward.
Practice Management Software & Claims Clearinghouse Full setup for your private practice utilizing Office Ally’s claims clearinghouse and practice management software to manage your full revenue cycle from sending out claims electronically to recording payments by insurances and your clients.
Clear, concise and effective communication with the provider and patient; monthly statements to your clients as needed Billing Simplicity is happy to communicate insurance coverage and answer questions for your patients ensuring they are informed about their coverage.
Financial Reports Review various reports which provide you a high-level overview of your practice revenue, or based on payor, CPT code or any other criteria. Financial reports allow you to see the fiscal health of your practice comparing revenue on a month to month basis.
Online access to data You will have your own access to logging into the Practice Management software 24/7 to see claim status, unpaid balances, or to run reports.
Claims Submission and tracking until payment is completed Billing Simplicity will ensure claims are processed accurately. In some instances, claims may be underpaid due to an error in processing by the insurance. Billing Simplicity will ensure that all claims process correctly according to your contracted rates and the patient’s policy. Additionally, Billing Simplicity will handle appeals and follow up on unpaid claims.