SMS Billing, Collections and Accounts Receivable Services
Patient Billing Information Capture – Patient demographics can be acquired manually or by electronic data capture. Data collected by either method is audited and edited by experienced staff and audited further by our system edits.
Complete Capture Verification – SMS acquires service reports and reconciles them with our internal system billings to validate that all services have been billed. Any missing charge documentation is acquired and billed immediately.
Coding and Compliance - Procedure and diagnosis coding is managed by coders certified by both the American Academy of Professional Coders (CPCs) and the Radiology Coding Certification Board (RCCs). SMS has system capabilities with sophisticated editing functions for auditing claims prior to submission. These edits will highlight any coding discrepancies, missing information or incorrect data fields.
Claims Submissions – SMS has direct payer submission programming and clearinghouse relationships for electronic claims and processes claims daily for increased cash flow. These functions provide for online claims tracking and when available, online correction and resubmission can be accomplished immediately.
Payment Posting – Receipts are processed on a line-item basis daily. Payments are received via lockboxes and electronic funds transfer. Electronic remittance is available for all major payers.
Refunds – Overpayments are researched, authorized and documented. SMS offers refund check capability or can provide the refund supporting documentation to the practice.
Contract Monitoring and Denials Management – SMS has the software in place to report all underpayments, overpayments and denials. The denial management process is enhanced by the use of appeals management software that offers appeal letters with case law and national, state and local regulatory language to support the appeal.
Correspondence – Non-remittance mail from payers and patients is noted in your patients' accounts and reviewed to spot trends. Responses are processed timely to enhance cash flow.
Patient Inquiries – SMS has a Patient Help Team comprised of individuals with customer service training as well as significant medical billing experience. Calls are tracked by client and by type of request and reported monthly to the management team and to our clients.
Management Reporting – Meaningful financial reports are provided on a monthly basis. A member of the SMS Management Team is always available for monthly on-site client conferences or conference calls. Additional customized reports are available.
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