Question 1

Pre-Service Support

Accepted Answer

We provide consultation and training related to the revenue cycle management process for the services provided by our organization.
 
1) Obtaining Type 1, Type 2 NPI and PECOS
2) Creating a CAQH Profile
3) Implementation set up for credentialing & billing
4) Recommendations on EMR & Scheduling Systems

Question 2

Claims Management

Accepted Answer

Effective and efficient billing and collection practices to facilitate reimbursement of claims to health plan funders.
 
1) Insurance Eligibility and Verification
2) Patient Demographics Entry
3) Charge/session Entry
4) Claims Submission
5) Payment Posting
6) Account Receivables Follow-up
7) Denial Management
8) Patient Statements

Question 3

Insurance Credentialing & Enrollment

Accepted Answer

Full-service credentialing services to guide your agency through the process of becoming an in-network participating provider with national and state health insurance funders.
 
1) Individual Provider Credentialing
2) Group Provider Credentialing
3) Individual & Group Affiliation
4) Re-Credentialing and maintenance services

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