Billing, Collection Review and Report Management

PayGrade – A Scored Review of the In-House Billing and Collections Process 

• Front desk collection of financial information and verification of benefits
• Appropriateness of codes selected during specific office visits
• Collection of co-pays and deductibles
• Check-out procedures and banking protocols
• Staff ratios for business office
• Procedures and practices of the billing office will include:
  1. Follow-up on unpaid claims. Are your claims being properly worked?
  2. A review of multiple days’ charges and insurance payments. Procedures audited will cover posting of charge, timely filing, insurance company payment review, and appeals.
  3. Review of surgical coding for proper code combinations and modifiers
  4. A staff meeting can be arranged for training and learning coding techniques.