Basic Expectations
Software setup and training
This is only required if you do not have an ERH/EMR already established or if you are looking for a new system to change over to, we will handle the changeover, set up and cover the cost of training with the company at no cost to you.
Monthly Service Flat Fee
Service includes but is not limited to, reviewing, scrubbing claims, review codes (CPT, ICD-10, HCPCS, and NUCCI) against any relevant information to ensure claims are processed accurately, the FIRST time. Electronically submitting claims to insurance carriers, and reviewing, resubmit rejected/denied claims. Posting patient and insurance payments.
Claim Reporting Monthly Fee
Each month we will provide you a report of current claims standing based on your practice needs while also providing an emailed copy as a timestamp of the current health of your claims and reimbursement processing.
Patient Payment Processing Fee
Credit card processing fee which allows our staff to communicate with patients directly to collect patient payments or direct patients to pay online on any outstanding balances.
An in-house payment plan is available for an additional fee.
Eligibility Check Monthly Fee
Our staff will be able to check benefits and eligibility before the initial office visit specifically targeting frequently billed CPT codes and/or service descriptions.
Reconciliation Monthly Fee
This service is for catching older claims before hitting timely filing due therefore we will only bill a max amount for 12 months. The fee will be less if the reconciliation takes less time to complete.
Novis
Who is this for?
This service is for the medical professionals looking to start their own practice. The questions
around enrollment for contracted rates with insurance companies, how to bill the insurance
company, and how quickly you can get paid to continue focusing on the patient quality of care
can all be answered quickly, efficiently with details.
What will we do for you
We will help you set up an electronic health record system (EHR) with our partner CollabMD,
making your new practice set up with the proper electronic data interchange (EDI) for the
electronic payment process with each insurance company, use the electronic remittance advice
(ERA) to post into the patient portal and what YOUR take home is. Training in, how to use the
software, how to create and update patient demographics and much more. Lastly, but not least,
a written down process on what to expect from us for the next 12 months as you grow your
practice.
What are you missing from this service?
Here is a list of services we can provide at extra cost:
- Real-Time Dashboard of Claim Processing
o Log-in anytime and see how claims are going.
- Appeal and Grievance update to drafting OGI Complaint for compliance
- Tracking patient utilizations monthly
- Insurance contract negotiations
- Patient soft collections (after 2 months) of no payments
- Revenue Loss analysis by month or weekly report out
- Insurance Regulation Update Notification – affecting your practice
- Provider Enrollment to become in-network contractors
Trado
Who is this for?
This service is for the medical professionals who have employed or contracted other billing
‘solutions’ but it’s causing more of a headache than preserving your revenue and/or peace of
mind. Our experience tells us that medical professionals go to medical school to provide quality
care to patients, not stress about the administration of billing while staying compliant to get paid accurately the first time.
What will we do for you?
Let’s start by evaluating the process of taking care of your prosperity through the data we need
to bring over into our software. Set up will include a written process on how to send us the new
patient information, where you can see the real-time status of claims processed. Ensure any
paper claims submission is transitioned into electronic data interchange (EDI) to have payments
come to you faster.
By this point we would have understood the current gaps then we will be able to project the reconciliations revenue retrieval, estimate monthly reimbursements. We will provide you with a plan of attack to retrieve your almost lost revenue. Revenue Loss analysis by month or weekly report out. The reconciliation process will also include reviewing the denied or rejected claims and start appeal.
If you have a growing practice, provider enrollment to insurance companies to be in-network is
part of this solution service.
What are you missing from this service?
Here is a list of services we can provide at extra cost:
- Real-Time Dashboard of Claim Processing
o Log-in anytime and see how claims are going.
- OGI Complaint Drafts
- Tracking patient utilizations monthly
- Insurance contract negotiations
- Patient soft collections (after 2 months) of no payments
- Insurance Regulation Update Notification – affecting your practice
Insight
Who is this for?
Experienced medical professionals who have dedicated years to quality healthcare seek to stay
updated with regulations, find a dedicated contact for in-person or video consultation, and
reduce internal billing costs effectively.
What will we do for you?
Let’s start by evaluating the process of taking care of your prosperity through the data we need
to bring over into our software. Set up will include a written process on how to send us the new
patient information, where you can see the real-time status of claims processed dashboard.
Ensure any paper claims submission is transitioned into electronic data interchange (EDI) to
have payments come to you faster.
By this point we would have understood the current gaps then we will be able to project the reconciliations revenue retrieval, estimate monthly reimbursements. We will provide you with the plan of attack to retrieve your almost lost revenue. Revenue Loss analysis by month or weekly report out. The reconciliation process will also include reviewing the denied or rejected claims and start appeal.
If you have a growing practice, provider enrollment to insurance companies to be in-network is part of this solution service. Provider and insurance contract rate negotiations will be part of this solution as well as tracking patient utilization, insurance regulation update notifications, patient collections after 2 months of standard collection process.
What are you missing from this service?
Nothing. This is our most comprehensive service, the only thing you are missing is Us.