PINNACLE Centralized Billing Office

Are you seeking ways to . . .

• Streamline your business office operations?
• Minimize administrative overhead?
• Allocate every square foot of your premium medical space to revenue producing ventures?

PINNACLE Centralized Billing Office (CBO), a third-party billing company, provides a cost-effective, efficient alternative to the typical in-house billing office. During a time when reimbursement for healthcare services has continued to decline while costs associated with collecting from third party payors has continued to rise, PINNACLE CBO can positively impact your bottom line.

Our scope of services:

• PINNACLE CBO employees possess both a broad knowledge base of healthcare billing and collections as well as billing and collection activities specific to single and multi-specialty ASC settings. Our work with providers in multi-state regions creates a network of accounts receivable management that positively impacts your receivables.
• We establish a direct link to your billing software to provide a seamless continuum of administrative services for your physicians, employees and patients. Real time information is available to all users; we become an extension of your practice, partnering with you to provide services of the highest quality to those you care for.
• By proactively positioning ourselves to receive alerts regarding updated payor rules, coding standards and billing guidelines, we ensure a steady stream of revenue is maintained for your practice in a constantly changing reimbursement environment.
• Our formal compliance program addresses all components recommended by the OIG 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.
• HIPAA compliant claims are submitted electronically (unless a payor requires paper claim submissions with accompanying case specific documentation) and undergo claims scrubbing processes that produce the shortest billing to payment cycle possible.
• A/R is consistently monitored and dedicated claims follow-up personnel work the phones daily to proactively identify potential issues thereby decreasing payment lag time.
• Post-payment review is conducted to ensure proper reimbursement levels are maintained. Inaccurate remittances or denials are addressed promptly.
• At the end of each month, we reconcile all procedures performed with charges billed to ensure “lost charges” are avoided. A customized reporting package based on your identified information needs is prepared.

For more information on our Centralized Billing Office please contact

Kim Woodruff

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Vice President of Business Office Operations
kwoodruff@pinnacleIII.com
1658 Cole Blvd #100 Lakewood, CO 80401
303.280.9101 Toll Free: 1.877.852.7552