Medical Accounting Corp: Medical Billing Services for Anesthesia and Pain Management Medical Groups

MEDICAL BILLING PROCESS

DATA ENTRY: Accuracy in claims submission relies on accuracy in data entry; therefore, we have a set of checks and balances to ensure that all patient demographics and insurance information is entered exactly as it is submitted to us. Our Windows-based system eliminates the need for redundant data entry, thereby minimizing the potential for human error at the data entry point.

CHARGE ENTRY: After coding and data entry is performed, the changes are turned over to the processing team responsible for your account. Because we assign specific employees to your account, your team members know your account. While other billing services have a pool of personnel working (oftentimes overseas) on your account for cost efficiency, this approach does not allow the fixing of accountability.

Your processing team enters the charge information into the billing system and ensures that all charges appear as they are submitted to us. The claim is then submitted via electronic format (EDI) through our clearinghouse to the appropriate carrier, or in very limited cases, a paper HCFA-1500 form is mailed directly to the carrier.

INSURANCE FOLLOW UP: Medical Accounting Corp. uses the following process to ensure full claim reimbursement:

· Telephone insurance co's re: unpaid claims at 30 days >>
· Re-evaluation of unpaid claims at 90 days >>
· Resubmission of unpaid claims >>
· Appeals >>

COMPLIANCE PLANNING: >>

CODING: >>

MANAGED CARE & PROVIDER ENROLLMENT: >>

QUALITY ASSURANCE: >>

YOUR ACCOUNT TRANSITION TEAM: >>

Medical Accounting Corp.
200 Industrial Parkway . Chagrin Falls . Ohio . 44022
Toll Free: (800) 770-3314 Email: info@medical-accounting.com