BASIC SERVICES --Posting of all charges (to patient and insurance) --Posting of all payments (by patient and insurance) --Billing Primary, Secondary and Tertiary Claims --Processing appeals to insurance companies (both government & commercial) --Actively follow patient and insurance aging reports for all outstanding claims --Loading patient demographics and insurance information into the billing system --Creating and mailing patient statements once per month as well as follow-up and phone calls on past due charges -- Pursuing payment for existing accounts that are between 0 and 365 days old but that still fall within the insurance guidelines for timely filing.
ADDITIONAL AVAILABLE SERVICES --Create a specific financial policy and post additional charges as they are defined in that policy (ex: adding finance charges for unpaid patient balances and posting missed appointment fees…) --Maintaining a current fee schedule (updated each January and July) for three major insurance companies and up to 30 CPT codes in order to ensure the highest level of reimbursement. -- Maintain current credentialing information on the CAQH and Provider Source websites as well as a current WA State Practitioner Application. (It is the responsibility of the Client to ensure that all necessary documentation is submitted to Emerald NW in a timely fashion to include but not limited to: hospital affiliations, medical license renewals, Drug Enforcement Agency Certificate renewals, a current curriculum vitae for each provider, peer references, a current and signed W9 form, current professional liability coversheets and all other information required to complete this task.) --ICD10 Quick Reference Conversion Charts