| In-House |
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Professional Outsource |
Hire and train competent reimbursement personnel |
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Maintains all reimbursement personnel |
Select, purchase and maintain complaint software |
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Maintains HIPAA Certified state of the art software |
Purchase and maintain hardware and maintain HIPAA complaint office |
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Provides and maintains HIPAA complaint office |
Review all claim payments for accurate reimbursement |
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Review all claims for accurate reimbursement |
Follow up on rejected claims |
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Immediate follow up on rejected claims |
Determine if there is a pattern of rejected claims and institute corrective actions |
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Profiles rejected claims and formulate corrective action |
Do follow up on coinsurance and patient payments |
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Does regular follow-up on co-insurance and patient payments |
Answer patient's billing questions |
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Handles billing questions |
Track all payments |
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Provides monthly detailed tracking reports |
Reconciled posted payments to deposits |
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Detail posting |
Audit billing to insure that all patients have been billed |
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Matches all superbills to record of items billed |
Review accounts receivable aging to insure timely collection |
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Review accounts receivable aging reports regularly |
Institute and monitor backup procedures that are HIPAA complaint |
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Maintains secure backups with HIPAA regulations |
Reduced cash flow when personnel are out for any reason |
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Maintains a strict billing schedule to ensure consistent cash flow |
Hire and train replacement personnel |
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Maintains all billing personnel |
Stay current and implement all new regulations |
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Constantly monitors regulations and implements |