Our employees possess both a broad knowledge of healthcare coding, billing and collections, along with the intricacies specific to ASC and medical practices.
Rules and standards change all the time, often with little warning. We are up-to-date with the latest payor rules, coding standards, and billing guidelines – minimizing the potential for interrupted revenue in a constantly changing reimbursement environment.
Our formal compliance program addresses all OIG-recommended components for third-party billing companies, creating a strong alliance with the Department of Health and Human Services and commercial payors in an effort to defeat healthcare fraud.
Except for very specific cases, we submit HIPAA-compliant claims electronically and we scrub them to produce the shortest billing to payment cycle possible. We also maintain a dedicated team of follow-up personnel to resolve potential issues and proactively conduct prompt post-payment reviews to ensure proper reimbursement.