Practice Management Solutions provides the following services:
- Software sales and training
- Electronic billing
- Posting of payments
- Claims follow-up
- Create encounter forms (super bills)
- Clearinghouse setup (enrollment forms)
- Practice management
- HIPAA consulting and training
- New company application for providers
- Credentialing
Our billing service is so streamlined that we are a paperless office. All of your records are stored electronically either in the software itself or in another location on our server, and can be accessed by a secure user name and password. You will be provided with your records on a disk. You may receive these disks monthly or yearly at your discretion. You will no longer need extra space for records!
We submit clean claims. Our billing service uses a claim scrubber that scrubs for modifiers, lmrps, and diagnosis codes. It advises you which CPT code should be primary and even tells you what the claim will pay based on the Medicare fee schedule. We also have the capability to use multiple fee schedules in your practice.
Claims are scrubbed to make sure the patient demographics and insurance information are correct before they are forwarded on to the payer. Most small billing services cannot afford the technology we employ and must re-key claims in a time consuming labor intensive manner.
We process your claims electronically unless the insurance carrier does not accept electronic claims. This will increase your cash flow due to the expedient way in which the clearinghouse gets your claims to the payers, usually within 24 hours of submission. Electronic claims are paid in 7 – 21 days. Your Medicare claims pay within 14 days of receipt. With the paper method, you could wait up to 45 days before you hear from the payer. Paper claims with errors may be mailed back for corrections, starting the process all over again. We take steps to ensure your claims are sent correctly the first time.
