Calculating and executing the intricate disciplines of healthcare receivable billing is not only a science, but also an art. That’s why our experienced account representatives are experts in efficiently handling all aspects of No-Fault and Workers Compensation receivables.

Our standard work model includes:

Strict adherence to all New York State Billing Regulations

Direct interaction with the New York State Workers Compensation Board and New York Insurance Department

Detailed letters that are designed to advise and assist patients with specific instructions on their claim. No-Fault attachments such as Assignment of Benefits and No-Fault specific forms accompany every letter.

Direct contact with employers to obtain information and provide guidance on claim filing

Use of client service personnel to gather necessary, client-specific information internal to the client

Manual and/or Electronic Interfaces based on client-specific data are designed to import all necessary data elements to our Billing/Collection System

Proprietary Software designed to prorate claims based on NYS Workers Compensation Fee Schedule. This ensures that claims are billed at required adjusted rates.

Systematic and aggressive follow-up process initiated to properly adjudicate claims and prevent inaccurate submission denials

Liens filed as necessary and arbitration considered on a claim-by-claim basis

 

 

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