Medical Billing


 

Medical Billing
 

Office Essentials provides billing services to Psychotherapists, Social Workers, and Clinical Psychologists, just to name a few. Is your office staff spending endless hours submitting medical claims or tracking payments? Have you lost revenue after finding out a patient did not have insurance coverage? Have you ever been denied a payment due to late submission or lack of authorization for a claim? Have you been told that the insurance company never received the claim? If you answered "yes" to any one of the above questions, it may be time to consider outsourcing your billing to a qualified medical billing service.

Office Essentials offers two options to meet your medical billing needs:

Option 1: Claims Only
(We charge a percentage of what the insurance company
pays you.)

- Patient Set Up
- Electronic / paper claim submissions
- Claim tracking
- Posting charges and payments
- Monthly reports

Option 2: Practice Management (Includes Option 1)
(This service would be charged at an hourly rate.)

- Insurance verification
- Billing secondary insurance
- Track patient visits
- Patient statements
- Soft collections
- Detailed reports
- Patient reminder calls

Patient Set Up
We will enter the patient into EZ Claim with their insurance information and coding information.

Electronic and Paper Claims
We process claims electronically for carriers that accept electronic submission. Paper claims are submitted for providers who do not accept electronic submission.

Claim Tracking
We follow up with the insurance carriers on all claims that have gone unpaid beyond 30 days.

Posting Charges and Payments
We will set up a spreadsheet with a list of your patients, the visit date, the date billed, the insurance company, the CPT Code, the amount billed, the amount paid, the date paid and the check number.

Monthly Reports
The above spreadsheet "Charges and Payments" will be sent to you on a monthly basis.

Insurance Verification
When a new patient calls for an appointment, the person scheduling the appointment will ask the patient a few simple questions and fill out a worksheet. We will then contact the insurance company and verify benefits.

Secondary Carrier Billing
We automatically process Secondary Carrier claims upon receipt of the Primary Carrier EOB.

Patient Visits
We will keep track of the number of visits your patients have used and notify you when you need to get new authorization.

Patient Statements and Soft Collections
We will send patient statements, with your permission, when the insurance company does not pay the claim or if the patient wants to be billed for their co-payments.

We will provide soft collections consisting of letters to follow up on statements and one phone call if necessary.

Detailed Reports
We will provide the spreadsheet "Charges and Payments" and also a report with the claims that are pending. This can be done weekly, bi-monthly or monthly.

Patient Reminder Calls
We will request a copy of your patient schedule a week in advance and use that information to call the patients the day before their scheduled appointment to verify the appointment date and time If they are unable to keep their appointment, we will immediately contact your office.