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The Billing Cycle
Success Beyond Billing

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


 

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