Comprehensive Plus Plan

Service Description

The Comprehensive Plus Plan offers two flexible payment models to suit your financial preferences: a percentage-based plan and a flat-rate plan. Both models provide access to our full suite of expert services, ensuring your revenue cycle is optimized for maximum reimbursement. Here's a detailed look at the core services included under our Comprehensive Plus Plan: *Patient Registration & Scheduling: Verification of patient demographics and insurance information at the point of scheduling to minimize front-end errors. *Insurance Eligibility & Benefits Verification: Thorough real-time checks to confirm patient insurance coverage and benefits before services are rendered, reducing denied claims. *Charge Capture & Entry: Accurate and timely entry of all services provided, ensuring no billable services are missed and CPT codes are correctly applied. Coding Audits & Compliance: Regular audits by certified coders to ensure all claims comply with current coding guidelines (ICD-10, CPT, HCPCS) and regulatory requirements, minimizing compliance risks and rejections. Claim Generation & Submission: Prompt and accurate electronic submission of claims to all payers, including primary, secondary, and tertiary insurance. *Payment Posting & Reconciliation: Meticulous posting of all payments (EFTs, checks, patient payments) and adjustments, reconciling accounts to ensure financial accuracy. *Patient Statement Processing: Generation and mailing of clear, concise patient statements, followed by secure payment collection options. *Accounts Receivable (AR) Management * Denial Management