- Independent U.S. Owned & Operated
Because we are proficient with the Revolution and Crystal systems we can onboard in as little as a few days. We just need access to your EHR and the various portals (Trizetto, Availity etc) needed for us to bill and post.
Depending on the system you use, we utilize the “notes” section and communicate patient specific items via “tasks”, or whatever setup you prefer. The staff can also text or call me on my personal cell anytime with questions that may be time sensitive.
Our fees are percentage based. That percentage amount is determined by a few variables, but predominately it’s based on the practices monthly medical net revenues. Generally, the higher the revenues, the lower the fees. Other variables can also affect fees, such how much work your practice needs. Is it a reclamation project? Do you have efficiencies and good workflow in place already? Does your A/R need a lot of work?
Yes, but with some caveats. Generally, we like to start out with a 6-month contract, but with an easy opt-out clause, no penalties, if you feel that we are not a good fit. We only ask for a 2-week heads up.
After we talk and get an idea of your practice’s needs, I will send over a proposal within 24 hrs. which will synopsize our standard services included, things we need to start billing for you, proposed percentage fee, references if desired etc.
Yes and No. In our experience, we find that it is best to keep Vision Plan claims in-house for payers such as VSP, EyeMed, Davis, Spectera etc. It works much better from a workflow perspective and overall is more efficient. However, we can offer posting services for Vision plans. Depending on your situation, we may be willing to submit some vision plans claims, but it is usually limited to exams and CL. We generally reserve this for larger practices. We never get involved in materials submissions.
No, we do not. Your staff will be responsible for benefits Verification & Eligibility. We may double check eligibility as part of denial management on the backend, but not as part of patient intake.
Every practice has different challenges and pain points, and we tailor our focus depending on those areas of needs. Overall, our priority is maximizing your cashflow, optimizing workflow by looking for areas that can be more efficient, and putting a high value on communication and customer service.
First, we don’t outsource anything overseas. We are 100% owned and operated in the U.S. Most big billing companies hire cheap labor from India, Philippines and other countries overseas. Often, they are poor at problem solving and taking the initiative to do proper denial management, along with high rep turnover and subpar communication. We also monitor your A/R monthly and investigate anything over 60 days old, and we can provide staff education on insurance topics. Finally, we take a vested interest in your practice. Our fees are linked to your revenues -the more money you make the more we make. So, it’s in our best interest to streamline your workflow and look for opportunities for your revenue cycle to be more efficient, time = money. These “above and beyond” services are included as part of our standard service, and you will not get this from other billing company out there. I guarantee it!
We limit working with these 2 systems because it’s what we know best and what we have worked on for many years. This way quality is tightly controlled, we can focus on maximizing cashflow and not learning a new system, and it helps make for a quick seamless transition when we begin billing for you. We have on occasion made exceptions and worked on other EHR, but it’s on a case-by-case basis.
Yes, we can work nationwide, including Hawaii and Alaska. Current and previous clients include WA, OR, MN, WI, FL, MO, NV, IL, MS, MI, IA and more. We can provide references of current clients at your request.
