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Practice Management Solutions utilizes electronic claims submission to decrease the turnaround time as well as eliminate the costly failure to pay rates associated with paper claims. Front-end claims service is only the beginning. Practice Management Solutions provides a dedicated team for your account services. This team monitors first-pass denials, provides intensive and immediate account follow-up, and provides detailed and comprehensive reporting.
Electronic Claims Submission
All claims are submitted electronically through a clearinghouse unless the payor cannot accept electronic claims. Claims are filed multiple times per week in order to optimize your revenue cycle.
Front-end edits enable Practice Management Solutions to identify and correct claims that are likely to be denied by the payor prior to submission. Clearinghouse reports and close monitoring by your account team allows Practice Management Solutions to make claims corrections and resubmission within 24 hours resulting in reduced first pass denials and quicker reimbursement.
Payment Posting and Secondary Insurance Filing
Practice Management Solutions works with our clients to establish a process for receiving EOBs that is efficient and effective. Your account team at Practice Management Solutions posts all eobs to patients’ accounts, submits secondary insurance claims when appropriate and forwards balances to the patients. Payments are reconciled daily.
Practice Management Solutions uses a line item posting method to ensure accuracy. This level of posting provides detailed reporting information that enhances the ability to identify collection opportunities.
Patient Billing
Patient billing is a service that Practice Management Solutions is pleased to provide our clients. This service directs all patient inquiries regarding insurance and balances to our office, removing the physician’s office from the delicate situation of managing patient’s financial obligations. This allows physician offices to focus on direct patient care.
Accounts Receivable Management
Successful accounts receivable management is much more than direct claims submission. Practice Management Solutions takes your revenue cycle seriously. We use automation and an innovative and solid process coupled with coding and compliance rules to reduce your days in A/R.