ULRICH MEDICAL BILLING Cycle... · REVENUE CYCLE MANAGEMENT SERVICESREVENUE CYCLE MANAGEMENT...
2
REVENUE CYCLE MANAGEMENT SERVICES REVENUE CYCLE MANAGEMENT SERVICES Billing/Claims Production • Claims scrubbed for demographic and coding errors, include, but not limited to: • Highest RVU order • Medical necessity • Modifiers • Claims filed daily • Electronically • Paper, when required • Rejections (Not to be confused with denials) • Worked & Re-submitted Billing/Claims Production • Claims scrubbed for demographic and coding errors, include, but not limited to: • Highest RVU order • Medical necessity • Modifiers • Claims filed daily • Electronically • Paper, when required • Rejections (Not to be confused with denials) • Worked & Re-submitted Payment/Remittance Processing (All monies are received directly by the client or client’s banking institution) • Perform daily posting for electronic and paper remittance, along with patient payments Payment/Remittance Processing (All monies are received directly by the client or client’s banking institution) • Perform daily posting for electronic and paper remittance, along with patient payments Reimbursement Related to Correspondence • Respond daily to: • Requests for additional information • Medical records, etc. necessity Reimbursement Related to Correspondence • Respond daily to: • Requests for additional information • Medical records, etc. necessity Billing “To Do’s” Our ARRA certified EHR’s, Team Chart Concept (TCC), system communication and tracking mechanism ensures timely response to billing requests. Billing “To Do’s” Our ARRA certified EHR’s, Team Chart Concept (TCC), system communication and tracking mechanism ensures timely response to billing requests. Account Receivable (A/R) Daily Follow-up • Unpaid claims • Partial Payments Account Receivable (A/R) Daily Follow-up • Unpaid claims • Partial Payments ULRICH MEDICAL BILLING Revenue Cycle Management Experts Focused on Your Bottom Line Denials Management (Not to be confused with claim rejections) • Worked daily • Submission for redetermination • Appeals, as needed Denials Management (Not to be confused with claim rejections) • Worked daily • Submission for redetermination • Appeals, as needed Patient Collections • Patient statement generation and processing of accounts for collection activity per guidelines established in conjunction with the practice. Patient Collections • Patient statement generation and processing of accounts for collection activity per guidelines established in conjunction with the practice. Credit Balances • Verified quarterly and supplied to office for processing Credit Balances • Verified quarterly and supplied to office for processing Refunds • Insurance refunds • Patient refunds Refunds • Insurance refunds • Patient refunds
Transcript of ULRICH MEDICAL BILLING Cycle... · REVENUE CYCLE MANAGEMENT SERVICESREVENUE CYCLE MANAGEMENT...
REVENUE CYCLE MANAGEMENT SERVICESREVENUE CYCLE MANAGEMENT SERVICES
Billing/Claims Production
• Claims scrubbed for demographic and coding errors, include, but not limited to: • Highest RVU order • Medical necessity • Modifiers
• Claims filed daily • Electronically • Paper, when required
• Rejections (Not to be confused with denials) • Worked & Re-submitted
Billing/Claims Production
• Claims scrubbed for demographic and coding errors, include, but not limited to: • Highest RVU order • Medical necessity • Modifiers
• Claims filed daily • Electronically • Paper, when required
• Rejections (Not to be confused with denials) • Worked & Re-submitted
Payment/Remittance Processing(All monies are received directly by the client or client’s banking institution)
• Perform daily posting for electronic and paper remittance, along with patient payments
Payment/Remittance Processing(All monies are received directly by the client or client’s banking institution)
• Perform daily posting for electronic and paper remittance, along with patient payments
Reimbursement Related to Correspondence
• Respond daily to: • Requests for additional information • Medical records, etc. necessity
Reimbursement Related to Correspondence
• Respond daily to: • Requests for additional information • Medical records, etc. necessity
Billing “To Do’s”
Our ARRA certified EHR’s, Team Chart Concept (TCC), system communication and tracking mechanism ensures timely response to billing requests.
Billing “To Do’s”
Our ARRA certified EHR’s, Team Chart Concept (TCC), system communication and tracking mechanism ensures timely response to billing requests.
Account Receivable (A/R) Daily Follow-up
• Unpaid claims• Partial Payments
Account Receivable (A/R) Daily Follow-up
• Unpaid claims• Partial Payments
ULRICH MEDICAL BILLINGRevenue Cycle Management Experts Focused on Your Bottom Line
Denials Management(Not to be confused with claim rejections)
• Worked daily• Submission for redetermination• Appeals, as needed
Denials Management(Not to be confused with claim rejections)
• Worked daily• Submission for redetermination• Appeals, as needed
Patient Collections
• Patient statement generation and processing of accounts for collection activity per guidelines established in conjunction with the practice.
Patient Collections
• Patient statement generation and processing of accounts for collection activity per guidelines established in conjunction with the practice.
Credit Balances
• Verified quarterly and supplied to office for processing
Credit Balances
• Verified quarterly and supplied to office for processing
Refunds
• Insurance refunds • Patient refunds
Refunds
• Insurance refunds • Patient refunds
Payer Enrollment Maintenance
• CAQH• PECOS
Payer Enrollment Maintenance
• CAQH• PECOS
End of Month Reports
• Standard reporting includes: • Monthly Financial Summary Report • Beginning A/R • Charges • Contract Adjustments • Miscellaneous Adjustments • Refunds • Payments • Ending A/R • Amount in Collections • Monthly A/R Aging y provider by financial class • Charge Lag Reports • Not OK to Bill Reports • Uncollected Co-pays for the Month • Client specific Reports as needed
End of Month Reports
• Standard reporting includes: • Monthly Financial Summary Report • Beginning A/R • Charges • Contract Adjustments • Miscellaneous Adjustments • Refunds • Payments • Ending A/R • Amount in Collections • Monthly A/R Aging y provider by financial class • Charge Lag Reports • Not OK to Bill Reports • Uncollected Co-pays for the Month • Client specific Reports as needed
Ulrich Medical Billing (UMB) will do an initial assessment with the practice of all services provided to ensure total charge capture. UMB can also assist the practice in determining the reimbursement potential of any new services the practice may contemplate offering. From time to time, UMB may also suggest new or additional services and/or coding based on commercial and governmental approval and appropriate to the practice’s discipline, which may enhance patient care and the practice’s revenue potential.
Ulrich Medical Billing (UMB) will do an initial assessment with the practice of all services provided to ensure total charge capture. UMB can also assist the practice in determining the reimbursement potential of any new services the practice may contemplate offering. From time to time, UMB may also suggest new or additional services and/or coding based on commercial and governmental approval and appropriate to the practice’s discipline, which may enhance patient care and the practice’s revenue potential.
At no charge to the client, Ulrich Medical Billing (UMB) will provide training related to the improvement of the practice’s revenue cycle.
At no charge to the client, Ulrich Medical Billing (UMB) will provide training related to the improvement of the practice’s revenue cycle.
Clients utilizing our ARRA certified EHR solution in combination with our billing services receive waived support and upgrades for the duration of the billing agreement.
Clients utilizing our ARRA certified EHR solution in combination with our billing services receive waived support and upgrades for the duration of the billing agreement.
Ulrich Medical 1640 McCracken BoulevardPaducah, KY 42001866-885-1150ulrichbilling.com
Ulrich Medical 1640 McCracken BoulevardPaducah, KY 42001866-885-1150ulrichbilling.com
CALL 866-885-1150 FOR A FREE CONSULTATION.CALL 866-885-1150 FOR A FREE CONSULTATION.
