We offer a complete billing service from the time the patient walks in your door until the patient has checked out.
- Import charges and transmit claims electronically daily through scheduled claim submission times throughout the day (paper claims are mailed when appropriate)
- Claims go through several steps to check for accuracy prior to transmission
- Post insurance and patient payments and appropriate adjustments
- Reprocess and/or appeal of denied claims
- Follow-up on unpaid or unacknowledged claims, including those not paid according to contract (fee schedule to be provided by practice)
- Coordination of benefits
- Submit patient statements on a monthly basis and make a good faith effort to collect monies due from patients
- Provide monthly A/R and management reports
- Provide individual reports upon request
- Monitor payer fee schedules and call on inconsistencies
Advantages of Outsourcing to OBCF
- Professional billing management by experienced reimbursement specialists
- Certified Coders
- Adherence to all payer rules and regulations
- Compliance monitored by a Certified Professional Compliance Officer
- Documentation monitored by a Certified Professional Medical Auditor
- HIPAA Compliant
- Confidentiality
- Notification of insurance regulatory changes and policy changes for reimbursement
- Updates provided to the Practice on procedure and diagnosis coding
- Acts as an insurance liaison for Practice
- OBCF staff regularly attends training sessions and seminars to stay up-to-date on most current regulations and billing changes
