Traditional medical billing companies, software vendors and practice management consultants offer just partial solutions. The Billing Office provides solutions across the entire revenue cycle. We are the one-stop shop for all of your eligibility verification, medical billing, coding, consulting, compliance, credentialing, software implementation and evaluation, and collection needs.

Our approach is uniquely proactive – and our high-ranking statistics prove the effectiveness of our methods.

• Our days-on-books average is below 40. Most of our clients are in the 20- to 30-day range.
• Last year we sent to the collection agency less than 1% of total accounts receivable.
• Less than 18% of our total accounts receivable are aging 91 days or more.

The Billing Office submits 100% of claims by electronic means, except for payors who do not accept electronic claim submission or appealed claims requiring additional documentation to the payor. Our real-time rules engines update CCI edits, bundling and LMRP updates, and search for diagnosis compatibility.

Our experienced reimbursement specialists proactively research claims when payors fail to adjudicate claim within the specified time frame. We research denied claims, re-file and update the practice’s internal database to alert staff to changes in payor requirements.

The Billing Office staff has on-line immediate accessibility to information requested by payors to help expedite claims adjudication with the least amount of interruption in the clinic office.

We allocate payments, denials and denial codes, and determine appeals in payment variance from negotiated contract to actual insurance payment.

What does our success mean for you?

Reduced Paperwork for Your Office. By eliminating "hands-on" collection activities, physicians are not required to handle the paperwork typically associated with claims processing. We also handle the distribution of patient statements and facilitate secondary payer claims, processing all claims electronically (where accepted).

Improved Cash Flow. Outsourcing the claims reimbursement process to The Billing Office shortens the reimbursement cycle. Professional, persistent follow-up ensures that collections are captured in a timely manner.

Elimination of Costly Errors. We verify all codes for accuracy before submission, and perform front-end edits/audits of all claim submissions. Annual code updates further result in more accurate coding, fewer delays and rejections and a higher reimbursement rate. We file primary, secondary, and tertiary claims; then we bill patients for remaining balances. Our consistency and oversight ensures that you do not miss "timely filing" and allows you to recover claims that would otherwise be deemed non-payable.

Saved Staff Time. The reduction of billing-related phone calls to the physician's office and follow-up calls to insurance companies will return time to the physician's busy schedule. In addition, physicians no longer have to worry about the time-consuming process of hiring, training or replacing billing staff.  Partnering with The Billing Office ensures complete billing will occur every single day. We even answer patient and insurance company questions for you.

Follow up, Follow up, Follow up. Our experienced reimbursement specialists follow every claim from submission to adjudication ensuring proper handling of each claim submitted for payment. On-line real time status of claims is tracked for continued reimbursement management of all claims. Claims submission date, re-filing of claims, as well as follow-up billing and collection notes are all tracked.

We update the informational database constantly, and update you regarding payor specific, practice specific and patient specific information by CPT code. This provides the most comprehensive client-specific data to ensure clean claims and corporate compliance.

Our client-oriented organizational structure means that we designate a dedicated account representative for each client. Your account representative is responsible for your satisfaction. Our staff is re-trained every day as rulings, requirements and technology change. They participate in association meetings and educational seminars. The Billing Office staff is highly motivated to meet your needs.