Superior’s commitment to serving our clients
mandates that we invest all the personnel and
technology resources at our disposal to insure that
each and every claim is paid quickly and in its
entirety. The following services are included in
our fees and are provided to you at no additional
charge:
Dedicated Billing Specialist
We
assign a dedicated billing specialist to you to
handle all aspects of your billing needs, entering
charges, submitting claims, sending patient
statements, following-up, and answering patient
billing questions, and also function as the liaison
between your practice and us. We will train your
staff and educate them about all aspects of the
billing process.
Reports
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Provide comprehensive weekly reports that typically
include a summary of charges, receipts, adjustments,
and refunds by doctor and/or payer and/or practice
location.
-
Detailed payment summary, aged
receivables by patients, and/or payers.
-
Insurance payments by
service date or dates posted, procedure productivity
reports, as well as true reimbursements by contract and CPT.
Coding
Assist with CPT, ICD-9, and HCPCS coding to maximize
reimbursement and minimize denials.
Billing
Electronic claim submission to primary, secondary,
and tertiary insurance for all patient visits.
Claims Follow-up
Review all unpaid claims within 30-45 days of
initial billing date, appeal denials, and resubmit
claims for review when initial payment is not in
line with typical doctor profile and maintain
Managed Care contract profiles to assure proper
reimbursement...a critical factor in maximizing
collections.
Posting
Post payments and adjustments to all patient
accounts.
Statements
Send monthly statements to patients and follow-up
non-payment by phone and mail.
Regulatory Requirements
Advise physicians on any changes in CMS
requirements, CPT, and ICD-9 coding to maximize
their reimbursement and assure that all transaction
are HIPAA compliant.
Review
Assist in fee schedule review/updates annually
(automated fee/profile schedule updates).