Services Offered

Insurance Billing & Coding, Claim Denials & Reimbursement Issues

 

The world of medical insurance is ever-evolving. Let me help you adapt to these constant changes by providing your practice with expert insurance billing & coding experience. Do you ever feel like medical insurance claims are just alphabet soup? Have you called an insurance company about a denied claim only to be told the POS code was incorrect, the modifier was inconsistent with the procedure, or there was an error in the loop and segment of the electronic submission? Providers do not have time to figure out this puzzle. Let me help! I can offer assistance with denied claims, incorrectly paid claims, issues with reimbursement/fee schedules, incorrectly bundled payments, and delayed payments.

Insurance Credentialing

 

Insurance credentialing is arduous and particular in its process. As a provider, you just want to practice and you don’t want to fill out forms all day. Let me help streamline the credentialing process for you. I can also assist with Medicare and Medicaid re-validations and the CAQH application. Insurance companies I offer credentialing & enrollment services for:

  • Wellmark Blue Cross Blue Shield

  • Iowa Medicaid

  • Iowa Total Care

  • Amerigroup

  • UnitedHealthcare

  • United Behavioral Health

  • Aetna

  • Medicare

Financial Reports & Analysis

 

Do you know what your KPI (key performance indicators) are? Do you know how to compare your monthly numbers? KPIs are the health of your business. They need to be monitored regularly. You may need to adjust some policies in order to keep optimal KPIs. Do you know how to get these reports out of your EHR system? I can assist with custom financial reports and analysis. You can print 50 reports, but if you don’t know what you’re looking at, you won’t have an accurate understanding of your financial standing. I will help you by creating custom financial reports based on your desired KPIs and provide metrics for comparison.

Collection Management

 

The collection cycle of a practice is crucial to its financial well-being. How long do you let balances sit in patient A/R? What’s your net collection ratio? These details impact your bottom line. Do you need help streamlining this process? Let me help you navigate this tedious process.