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Electronic capture or data entry of patient demographic and chart information, including CPT-4 and ICD-9 codes
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Chart review (claim scrubber) for accuracy and completeness of information
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Produce initial and past due billing statements to patients (up to three statements)
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Initial patient statement - within 48 hours of receipt of complete chart
* Past due statements - on 30-day cycles
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File HCFA 1500 or electronic claim with all third party payors within 48 hours of chart receipt and automatic refile at 60 days, if required
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Automatic billing of secondary payors
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Electronic claims filing for Medicaid, Medicare direct and commercial payors correspondent with NEIC
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Medicaid eligibility check on all uninsured patients
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Industrial claims - carrier verification, file injury reports, payment review and follow-up for patient responsibility upon denial
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Insurance follow-up on commercial payors to effect timely and accurate payment
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Timely response to payor correspondence and patient inquiry
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Mailing of all patient statements and correspondence
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Maintenance of patient accounts in database
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Daily and monthly balancing and reporting functions to maintain accuracy and internal control
