Extended Business Office

Not every area or region in the country has the high caliber, experienced staff required to navigate the technologically enhanced healthcare world. Healthcare’s dramatic shift to EMR’s and all-in-one software systems have put a strain on smaller, less technically efficient providers and organizations.

The one thing that has remained constant in these times of change is your promise to provide quality and compassionate care to the communities in which you serve. Utilizing our staff as an extension of your revenue cycle management department gives you the ability to continue that promise.

We provide additional staff, on-site or remote, to help you combat the costs of turnover, inexperience, high salaried employees, training, and benefits. By analyzing your staff and organizational needs, we can determine exactly what extended business office service model best suits your needs.

Third Party Liability

Creating and submitting claims is a difficult task. Even more difficult is the ability to get claims paid; and paid correctly. As technology continues to evolve, insurance companies prey on the slightest errors on a claim to deny payment. As organizations continue to become overwhelmed with patient volume, their teams lack the ability to execute proper claims follow up.

Our team of HIPAA trained professionals have the experience with what has become the “norms” of claim denials and have established relationships with claim managers and supervisors for large group insurance carriers. Let our experts battle third-party insurance carriers while your team focuses on patient care.

Follow-Up & Managed Care Disputes

The age of a claim and lack of follow up can lead to lost revenue. Without a dedicated team to follow up and ensure claims are being processed efficiently, your organization is essentially leaving money on the table. Allow our experts to follow up and fight managed care disputes that delay or prevent reimbursement. We will reduce the number of outstanding aged claims and will resolve long standing disputes that prevent payment from fully responsible payers.

Workers’ Compensation

Unlike health insurance, Workers’ Compensation (WC) coverage is paid by a patient’s employer; therefore, claim submission must be executed to perfection to secure payment. Our team has the skill set to effectively work with WC carriers, as well as human resource departments to ensure prompt and accurate payment. Stop exhausting valuable resources without the peace of mind of guaranteed reimbursement.

Self-Pay Recovery

In a time where healthcare and personal finance has been jolted by the pandemic, it has become more difficult for providers and organizations to capture payments due from patients. Our staff is empathetic and compassionate and can provide unparalleled patient interaction. Let our staff assist in securing one of the most difficult and sensitive elements of your revenue cycle.

Eligibility Services

As technology has developed, so has the ability to determine missed or unallocated benefits. Our experts can provide a review for self-pay, elderly, or special needs patients to ensure they are maximizing all available benefits. It becomes easier to secure payments when a patient has the appropriate coverage available and at their disposal.