davis and associates
 

physician billing

Our experienced physician billing specialists will give you the individual, customized attention your medical practice specialty deserves. We dedicate an account manager with medical billing expertise in your field to ensure your billing and claims objectives are met.

Our Team of Medical Billing Specialists provide:

  • Customized Fee Schedules and Encounter Forms with your Practice’s specific CPT and ICD9 codes revised on an annual basis to ensure your maximum revenue potential

  • Month End Closing with all Payments, Charges, Adjustments and Refunds incurred within the month posted as line item entries

  • Aged Receivables  clearly identified and trackable by payor

  • Monthly Reports including all relevant data allowing you to perform ongoing analysis of  your managed care contracts, payor mix and productivity incentives

  • Performance Benchmarks are estalbished for your practice based upon you unique speciality profile

 

 

INCREASE YOUR REVENUES THROUGH OUR MASTERFUL MEDICAL BILLINGS AND CLAIMS SOLUTION

  • Claims are Electronically submitted

  • Every claim is reviewed and validated for proper sequencing and coding utilizing ALPHA II coding verification software to insure appropriate usage of Correct Coding Initiatives as per the AMA – BEFORE it is submitted!

  • Receipt of electronically submitted claims by third party payors is  acknowledged

  • Surgical operative notes are reviewed by registered nurses and certified medical coders. (Assistance in coding complex medical and surgical procedures is available)

  • Charges are posted within 3 days of receipt in our office

  • Claims over 30 days old are “statused” by calling the insurance company directly

  • Denials and improper reimbursements are appealed in a timely manner.

  • Payments come directly into your office where your staff is trained by our Billing Specialists to make daily deposits and check patient self-pay balances in “ real time” to maximize receipt of payments at time of service or re-visit to office

  • In TEAM WORK with DAVIS & ASSOCIATES, multiple “checks and balances” are in place to protect your revenues and cash deposits

  • Payments are entered by line item posting for proper reimbursement which is crucial to managing your managed care contracts

  • Patient Statements are sent out on a 30 day cycle and include a proper and unequivocal identifying message to the patient indicating co-insurance, deductibles and non-covered services.

We engage your PATIENTS in the Collection Process at the time of their first encounter with the Practice!

  • Pre Collection activities include utilizing a written financial agreement for every patient which insures patient responsibility for their account

  • Insurance companies are called for statusing of all claims over 30 days

  • Patients are telephoned regarding delinquent self-pay balances

  • A series of 2 pre-collection letters are sent to patients

  • Final physician written approval is obtained prior to sending patients to collections

  • Credit card payments are encouraged both at time of service for  co-pay collection and self- pay balances

  • Patients are offered “monitored” payment plans

No patient is ever referred to collection until we have exhausted our efforts to collect.

 
 

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