Why we do what we do.
There are many false assumptions about medical professionals held by individuals outside of the industry. Being issued a license to practice medicine, at any level, does not come with a blank check or a pot full of gold. There are still loans to repay, malpractice premiums to meet, overhead costs to cover; all the while collecting payments from insurers and/or patients in arguably the most heavily regulated industry in the United States.
At the same time, medical professionals are sought after in some of the most dire times of a patient’s life. They are looked upon to cure ailing, prevent pain and discomfort or ward off death.
We know countless providers who work miracles every day. But those same practitioners have to deal with the agonies of restraining a parent to allow a child’s broken bone to be set; delivering the news that cancer has spread; or informing a spouse that there is no medical remedy for what is taking their loved one.
That is why we seek to ease the on-going stress of running a medical practice, because we know of all of the other pressures and worries that practitioners face.
What we do.
We act as the back office for medical practices: reviewing charges for accuracy; submitting claims to insurers; following up on all denials, requests for information, medical record reviews; managing all financial entries; reconciling deposit reports; reviewing and working outstanding account receivables; receive any patient inquiries for questions regarding their billing statements; and generate monthly and annual financial and production reports. For those clients who desire it, we also deposit their monies into their bank account; manage retro-authorization requests; insurer credentialing, etc.
How we do it.
We meet the needs of our clients by first understanding what the pain points are of the practice. Then we work to resolve them and establish a simple and efficient workflow. We are also constantly reviewing the requirements of the insurers, government regulations, AMA recommendations and acting as problem solvers; identifying up-coming changes and altering our procedures so issues do not impact the processing of claims or payments.