Services
Complete
billing service:
• Transmit claims electronically on a daily basis (paper claims
when necessary)
• Claims go through several steps to check for accuracy prior to
transmission
• Posting of payments, adjustments, and deductions
• Reprocess or appeal of denied claims
• Follow-up on unpaid or unacknowledged claims
• Coordination of benefits
• Monthly patient statements
• Provide monthly A/R and management reports
• Provide individual reports that you may request
• Monitor payor fee schedules and call on inconsistencies
You provide:
• Patient information - demographics, insurance information
• Copy of referrals/authorizations/pre-certifications
• Patient encounter forms to OBCF
Other Services:
• HIPPA Compliance
• Office Management
• Insurance verification/authorizations
• Chart audits
• Monitoring of private carrier contracts
• Clean up aging over 120+ days
• Appeals
• Review your chemo claims for proper reimbursement
• Oncology billing education
• Temporary billing for office
Other Option:
• We can access your software program to complete billing
functions for your office
Updates
November 15, 2011
Medicare Provider Enrollment Revalidation Process
CMS Medicare Contractors will begin requesting
that physicians revalidate their Medicare provider enrollment information.
Each provider will need to submit a complete and up-to-date provider
enrollment application with all current information. Providers will be able
to submit a paper application or online through Internet based PECOS.
Helpful tips to prepare for 5010
Report the correct Type 2 (organizational) NPI for the billing provider on
all electronic submissions; begin using
the 9-digit zip code for billing provider and service facility
addresses; do not use a PO box for the billing provider.