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Patient & Demographic Services            

M.E.D.I.C., Inc. :
Custom medical billing services to fit your needs

What We Do – Medical Billing Services
M.E.D.I.C., Inc. recognizes that office-based physician billing and practice management services do not necessarily conform to a “one-size-fits-all” business model. As such, we strive to partner and collaborate with our clients to provide a battery of services that are most closely tailored to and designed to advance our clients’ medical practices. As such, there are a plethora of services available to our clients, and we are always open to the introduction of new services as they are necessitated or requested:

Patient & Demographic Services      [go back]

  • Demographic Data Entry/Practice Management Services
  • Patient data
  • Insurance set-up
  • We handle all the patient calls regarding balances after insurance, outstanding co-pays, patient deductions and Medicare covered/non-covered services
  • Professional looking laser printed statements with progressive dunning messages at user-defined aging windows
  • Fully itemized billing records showing carrier payments/adjustments available upon request
  • On a quarterly basis, lower our minimum bill to $1.99 so as to capture all small balances rather than writing them off. While a $1.99 payment may seem insignificant, they add up!
  • Management of returned mail & research of bad addresses

Charge Entry & Claims Filing      [go back]

  • Paper and Electronic Claim Submission (electronic whenever possible, limited only by the capabilities of payors)
  • Secondary & Tertiary Claim Submission (electronic whenever possible, limited only by the capabilities of payors)
  • Charge Entry
  • Review of coding supplied by client – however, neither diagnosis not procedure codes will ever be altered without having first obtained client consent and confirmation based on chart review.
  • Review and confirmation of proper bundling/unbundling
  • Review and confirmation of proper modifier usage
  • Pre-submission claims edit checking

Payment Posting      [go back]

  • Payment Posting and Adjustments (3rd party and patient)
  • Review of payment as relating to negotiated fee schedules – ensure that proper payment made by payors
  • Denial code management and review
  • Management and Review of Electronic Remittance Advice & Electronic Funds
  • Transfers
  • Remittance of Patient Statements


AR Management & Appeals      [go back]

  • Review of Clearinghouse Reports
  • Claim Follow Up and Appeals
  • Complete exhaustion of appeals – only limited by payor rules
  • AR Analysis and Clean Up
  • Research, analyze and advise clients regarding refund requests (for both third party payors and patients)
  • Monthly Financial Reports

Reporting      [go back]

M.E.D.I.C., Inc. offers numerous reports and graphs detailing your medical billing activities. The Allscripts Professional PM system employed by M.E.D.I.C., Inc. provides a significant number of user-friendly reporting options, including, but not limited to:

  • Appointment Detail Report & Analysis
  • Transaction Journals – Charges, Payments & Adjustments, Totals
  • Procedure Analysis – monthly/annual analysis by procedure code
  • Performance Management Report – by provider
  • Productivity Analysis – monthly/annually by provider
  • Aged Trial Balance Accounts Receivable Analysis
    … plus many, many more…. M.E.D.I.C., Inc. staff works with each client to ascertain those reports which clients wish to receive, manner of receipt and with what frequency.
  • Specialized Reporting. In the event that a client wishes to receive data that is not available via Allscripts Professional PM’s standard suite of reporting, M.E.D.I.C., Inc. management will work to make such data analyses available via specialized reporting techniques, via Excel and/or Crystal Reports.

Pre-Collection & Collections      [go back]

M.E.D.I.C., Inc. can also assist you by politely yet aggressively pursuing patient and third-party payments. Many medical billing companies fail to maximize the revenue potential from private-pay patients by refusing to make phone calls or by setting a de minimus collection amount. M.E.D.I.C., Inc. makes diligent efforts to collect patient payments, which are quickly comprising a larger percentage of physicians’ accounts receivables in today’s world of uninsured patients, or those possessing high-deductible, or catastrophic insurance plans. Capturing these patient payments is critical to the bottom line of physicians today!

  • Additionally, once it becomes clear that a patient is avoiding payment responsibility, M.E.D.I.C., Inc. will (at its client’s discretion) refer the patient account to a collections agency and manage all further formal collection agency efforts.
  • M.E.D.I.C., Inc. strictly adheres to our clients’ individual collection philosophies and protocols. 
  • We personally manage all patient billing and follow up phone calls. We have an aggressive self-pay team that will exhaust all efforts before sending the bill to an outside collection agency. 
  • Pre-collection letters (separate from monthly statement)
  • Phone calls
  • E-mail
  • Budget plans/promise-to-pay agreements
  • Automated assignment of delinquent accounts, depending on the preferences of the individual practice (i.e., delinquent accounts can be automatically assigned to collection agencies, or only after provider review and approval) 

Consulting & Provider Services      [go back]

  • Coding reviews & audits – this is especially critical with the nationwide onset of Recovery Audit Contractors
  • CPT & ICD-9 Review
  • Insurance Fee Schedule Analysis
  • Review practice fee schedule and make recommendations for changes
  • Front Desk Staff Training
  • Analysis of Current Office Procedures
  • Form Design/Review of Current Forms or Office Documents
  • Analysis of Issues Relevant to Carrier Agreement Negotiations
  • Provision of Quarterly Newsletter
  • Researching and Filing Liens Against Estates
  • Review denied claims for trends
  • Assist with NPI and payor application processes
  • Employee Handbook Development

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Charge Entry & Claims Filing
Payment Hosting
AR Management & Appeals
Reporting
Collections Services
Cosultations & Other Services
     
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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