Billing Services

When processed properly fewer claims are returned and more money is collected. PracticeMax achieves maximum reimbursement for billings through a custom team approach that emphasizes timely and accurate account processing and extensive follow-up. Accordingly, PracticeMax can:

Technology Tools

• Provide a haldheld device (Palm© Vx) for each full-time physician to use for writing prescriptions, drug reference, and capture patient management.
• Scan and index client documents for quick retrieval via the Internet.
• Provide scanning equipment for your office for document storage and retrieval.

Bill Review Process

• Create a customized superbill or charge ticket for each practice.
• Verify superbill information provided by client.
• Verify all charges are received for billing (no lost revenues).
• Data enter information necessary to submit claims.
• Generate and process insurance claims in a continuous billing cycle.
• Submit electronic claims, which can reduce the payment cycle to as little as 13 days.
• Edit electronic claims, which results in 2% rejections as compared to about 25%.
• Respond to client insurance inquiries on patient accounts.
• Record rejection notices, and rebill claims as dictated by client.
• Communicate with insurance carriers to resolve client payment issues.
• Update required insurance and patient account information as notified.
• Sort and post EOBs (forwarding the original to client as agreed upon).
• Send statements to patients.

Administration

• Provide toll-free number for patient inquiries.
• Cover related costs including labor, claims, statements, telephone expenses etc.
• Train your employees and provide appropriate incentive programs.

Receipt Processing

• Deposit receipts daily into client’s depository account.
• Post charges, payments, and adjustment transactions daily.

Reports

• Provide detailed management reports, which are useful tools for contract or capitation negotiations, tracking changes, benchmarking, and concise summaries to keep clients fully informed of their accounts and financial status.
• Hold monthly productivity meetings with client whenever desired.