Billing Services

Anesthesia/Surgery

Our fee: 5% of revenue collected
Does your billing system allow for exact time or is it being rounded off (lesser write-off amount if system uses exact minutes)?
Are anesthesia claims being scrutinized against contractual payment schedules?
Is the billing company going after every dollar amount or cherry picking the larger accounts and sending the rest to collections?

Our fee: 7% of revenue collected.
Appropriate modifiers are used to identify procedures, E/M and injectibles.
Solid legal advice to differentiate between regular practice and A.S.C. To avoid audits and related issues.
Why is it illegal to write-off copays?

Our fee: 6% of collected revenue.
Our billing specialists are well versed in necessary referrals, auhtorizations and coding concerns.
Should you do an Enteroscopy or an EGD?
Why you are paid more for 3.88 RVU for a 43235 and 4.22 RVU for 44360 because of facility settings?
Does it make sense for my practice to bring pathology in house?
How do I conform to Jan 1, 2009 Medicare rule regarding billing PC or TC for lab services and the 75% entity ownership rule?
Should we hire an Anesthesiologist or partner with one?

Our fee: 7% of collected revenue.
Is your practice producing additional 13K to 15K by using Smoking Cessation Codes and asking pertinent questions to every patient?
Are you aware of the recent 2009, 9935* time based codes that could increase reimbursement by 40% on certain visits?
Are you aware of the 2% increase in fees for PQRI by using an EMR?
Are you aware of the 2% increase in fees for E-prescribing?

Our fee: 6% of collected revenue.
Are billers doing due-diligence during billing by correctly listing the number of leads during an EKG testing?
Are modifiers being used when the global services can be billed?
Are appeals being undertaken for denial of critical services?

Our fee: 6% of revenue collected.

Our fee: 10% of collected revenue.
Is your billing department billing for EKG's, stitch removals and every other dollar that's collectible?
Are they doing due diligence with collecting every dollar or sending items to collections after feeble attempts to make A/R look presentable?
Do they have bi-directional HL-7 interfaces with legacy hospital systems to reduce costs, ensure HIPAA compliance and reduce staff inefficiencies?
Can they reduce malpractice costs by properly advising on overworked physicians or undermanned Emergency Departments?
Are they willing to negotiate with payers on your behalf to increase revenue by 175% of Medicare rates for PPO's and 135-140% for HMO's?

Our fee: 7% to 7.5% of collected revenue.
Is the biller experienced enough to send to mental health payers such as Magellan or sending the claim to the first insurance listed by the patient?

Our fee: 6% of collected revenue
Should we do Synagis in the office?
How can we keep track of our inventory vaccines and supplies in our practice management system?
How can we bill for phone consults?
Will your system remind the physician about the pending vaccines and other checks for the toddler or newborn?
Will it chart the growth and compare it with national rankings.

Our fee: 7% of collected revenue
Appropriate modifiers are used to identify procedures, E/M and injectibles.
Appropriate ICD-9 codes are used for specific procedures, correct body part identification, etc.
Bill for necessity of pain rather than addiction and related advice and monitoring.
When to use an E-code to record circumstances for MVA or related payment situations.
Is your biller changing the consult codes for office visits for certain insurances in order to ensure a non-denial.

Our fees: 7.5-8.5% of collected revenue.
Is your Pathology Lab utilizing the proper connectors and automated systems to ensure you are getting good data from referring doctors?