Consulting Presentation
Transcript: Billing Consulting Summit's Edge Counseling Services Overview Services Overview Depending on your practice, you may need assistance in one, some, or all of these areas. Let us customize a plan to fit your unique needs. *Please note services are primarily offered for private insurance companies such as Anthem, Cigna, Aetna, etc. Processes Creation/Improvement Process Creation & Improvement Implementation Our team can help create and implement more automated processes to ensure your billing systems are working most efficiently. Services including, but not limited to: Assistance with developing, recording, and implementing more efficient billing systems and processes Creation of manuals for future reference and training System updates to run more timely and efficiently Automated Clearing House (ACH) and Electronic Remittance Advice (ERA) implementation Ongoing Billing Oversight Ongoing Billing Services This service includes ongoing management of your billing processes from beginning to end. Ensure optimal reimbursement and timely payments by letting us ensure your claims are properly submitted and followed up on. Services include, but are not limited to: Insurance verification prior to session in order to ensure accuracy and active insurance status Follow up on claims not returned in a timely manner (within 30-45 days) Appeals of denied or incorrectly processed claims for resubmission and reconsideration Follow up with clients who have outstanding balance due to change in coverage, claim denials, etc. Communicate benefits and answer billing questions from clients ERA/EOB processing Credentialing & Contract Negotiation Credentialing and Contract Negotiation Are you getting the most possible out of your insurance contracts? Do you need help becoming paneled? Let us save you time and make sure you're getting the highest reimbursement rates possible. Services include, but are not limited to: For insurance paneling, we will walk you through the process, do everything we can to take the work off of you Assistance in setting up new billing processes and procedures once paneled Renegotiating of insurance fee schedules with insurance companies to ensure the highest amount possible is being paid for your services CAQH setup & maintenance Availity registration & periodic maintenance Training Training Do you already have an employee that handles billing that could use some additional training to perform most effectively? Would you like to manage your own billing but need some help getting started? Services including, but not limited to: Assistance and training designed for you to eventually independently handle your own billing Current staff training on proper insurance verification, tips to contacting insurance companies, reprocessing claims, and processing claim returns Work with staff/providers on covered CPT codes, services, and diagnoses Creation of manuals and informational materials for future reference and training Outcomes Outcomes Hiring an outside billing service can benefit your practice in many ways. Allow us to assist you so that you may better serve your clients while increasing your billing efficiency and revenues. Increase Revenues Increase Your Revenue Higher reimbursement rates from insurance companies due to contract negotiation and proper billing management Increased overall collection rate due to increased accuracy in collection prior to appointments to avoid later outstanding client balances Less time spent on billing matters allows for more time to see clients Client Satisfaction Client Satisfaction Informed professional assisting clients in navigating insurance and billing processes Informed of out of pocket costs and coverage prior to initial session Increase accuracy in collection and less outstanding balances due to improper verification Billing Efficiency Billing Efficiency Insurance claims paid faster (on average, 11.35 days) Less unpaid claims and claim denials Oversight of outstanding claims and periodic follow up with insurance providers Management of reprocessing incorrectly processed claims Direct contact with the billing manager for prompt communication and follow up Consulting Fees Fees Because our services are highly customizable, our fees vary widely. Split of revenues (5-8%), hourly, and flat rate options available depending on services utilized. We offer services to fit all budgets. Individual Clinicians Individual Clinicians $150 start up fee (up to 3 hours) $40 each additional hour required for initial overview and plan creation Split of revenues (5-8%), hourly, and flat rate options available dependent on services utilized Custom pricing available Practices of 3-7 Clinicians Practices of 3-7 Clinicians $225 start up fee (up 4 hours) $50 each additional hour required for initial overview and plan creation Split of revenues (5-8%), hourly, and flat rate options available dependent on services utilized Practices of 8-12 Clinicians Practices of 8-12 clinicians $400 start up fee (up to
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