The Physicians’ billing cycle is by far the most complicated revenue cycle there is.
It includes:
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Properly collecting patient information and referrals during scheduling and registration. |
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Generating physician notes and encounter forms with correct diagnosis and procedural coding in the proper format and order for appropriate reimbursement. |
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Electronically filing claims in a HIPAA compliant format and mailing HCFA 1500 paper claims to non-participating payers quickly and efficiently. |
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Reviewing all explanation of benefits to post payments, review adjustments, post contractual and other adjustments and transfer balances to secondary carriers or patients. |
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Follow up on unpaid balances systematically by phone, web sites and/or mail. |
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Appeal unpaid or underpaid claims when necessary. |
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Transfer outstanding balances to collections and maintain an audit trail. |
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Given the pace of clinical advances in medicine, physicians constantly devote significant time and effort to keeping up with changes in the practice of medicine. Practice managers must maintain a professional andfriendly environment for patients, referring physicians, pharmaceutical and other sales representatives,financial institutions and employees. |
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Physicians Office Solutions will enable your practice to remain focused on crucial tasks by providing solutions to your Billing and Information Technology needs. |