Outsourcing Comparison

In-House   Professional Outsource
Hire and train competent reimbursement personnel

Maintains all reimbursement personnel
Select, purchase and maintain complaint software

Maintains HIPAA Certified state of the art software
Purchase and maintain hardware and maintain HIPAA complaint office

Provides and maintains HIPAA complaint office
Review all claim payments for accurate reimbursement

Review all claims for accurate reimbursement
Follow up on rejected claims

Immediate follow up on rejected claims
Determine if there is a pattern of rejected claims and institute corrective actions

Profiles rejected claims and formulate corrective action
Do follow up on coinsurance and patient payments

Does regular follow-up on co-insurance and patient payments
Answer patient's billing questions

Handles billing questions
Track all payments
 
Provides monthly detailed tracking reports
Reconciled posted payments to deposits

Detail posting
Audit billing to insure that all patients have been billed

Matches all superbills to record of items billed
Review accounts receivable aging to insure timely collection

Review accounts receivable aging reports regularly
Institute and monitor backup procedures that are HIPAA complaint

Maintains secure backups with HIPAA regulations
Reduced cash flow when personnel are out for any reason

Maintains a strict billing schedule to ensure consistent cash flow
Hire and train replacement personnel

Maintains all billing personnel
Stay current and implement all new regulations

Constantly monitors regulations and implements

Copyright © 2006 - STAT Reimbursement Services LLC - All Rights Reserved.