We are dedicated to providing efficient and effective accounts receivable billing and management services to radiologists by strengthening the entire process every step of the way.

Coding

We utilize the most current procedural (CPT) and diagnostic (ICD-9) coding rules and regulations.  Our coding staff are certified, regularly attend seminars, and study multiple industry newsletters and publications to stay up to date on new coding rules and regulations. 

Electronic Data Acquisition

We acquire patient and insurance data from hospitals electronically and process the data so it is compatible with our medical software system.  This computerized process eliminates the need to manually enter patient and insurance data into the medical software system.

Electronic Claim Submission and Remittance

Our commercial healthcare charge processing software allows us to submit claims to carriers electronically, thus greatly enhancing productivity over filing paper claims.  The system is also capable of receiving electronic remittances from Medicare and Blue Cross.

Remittance Review

We analyze Explanation of Benefits (EOB) received from carriers to verify appropriate payment.  To clarify payment ambiguity, we initiate correspondence with payers and appeal denials whenever necessary.

Outsourced Collections

To obtain optimum benefits with the least cost, we outsourced the patient receivable collection function. 

Internal Audit

Our internal audit is performed on a continuous basis and utilizes current data to monitor compliance with relevant coding and reimbursement laws and regulations, as well as to review the accounts receivable process for effectiveness and safeguarding of assets.  This allows us to mitigate the impact of any issues that may occur in the process by identify and correcting them as soon as they arise.