Billing And Collection (electronic and paper) |
We successfully submit claims electronically to over 97% payers'. Claims are transmitted using an established National Clearing House. Claims submitted to Florida Medicare, Florida Medicaid and Florida Blue Cross and Blue Shield Plans are sent directly to those Carriers. Florida Medicaid payments are made in 7 days. For those with EFT agreements, payments are received on the eighth day after two o'clock in the afternoon. Florida Medicare payments are made in 14 days. |
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Review all unpaid claims within 15–30 days of initial billing date, appeal denials (bundling, etc.), and resubmit claims for review when initial payment is not in line with typical doctor profile and maintain Medical Manager's Managed Care contract profiles to assure proper reimbursement—a critical factor in maximizing collections). |
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Post payments received to patient accounts (line item application allowing tracking of CPT reimbursement history).
Post adjustments according to provider's Managed Care contract profiles, monitoring the profiles for reimbursement accuracy as outlined above. |
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Send monthly statements to patients and follow-up non-payment by phone and mail (the patient billing cycle includes two or three statements, followed by first and final delinquency notices and then referral to collection agency if needed. |
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Advise physicians on any changes in HCFA requirements, CPT, and ICD-9 coding to maximize their reimbursement.
Assure that all transactions are HIPAA-compliant. |
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Assist in fee schedule review/updates annually (automated fee/profile schedule updates).
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Your practice or facility can recover the outstanding patient balances, with out damaging your reputation, losing your patients, or destroying your profit margin. This can be done by using a professional, licensed, bonded and HIPAA compliant medical collections agency.
Collection Agency Services' recommended medical collection agency services can assist you to diminish write-offs and keep your patients coming back to you for care. If your practice is sending out multiple patient invoice, month after month after month, the time might be right to use one of our recommended medical collections agencies.
A medical collection agency can motivate delinquent patients to pay you for the care yo provided to them. Using a medical collection agency lets your patients know you are determined to get paid what you are legally and ethically owed. Our recommended medical collections agencies can make the difference between a scraping by or practicing comfortably.
Proper collections can also help pay for some of the exploding costs of medical malpractice Insurance. Recovering your bad debt by using a medical colleglon agency actually frees up your cash to fund expensive malpractice premiums and other medical liability costs. Our recommended medical collections agencies can allow you to concentrate on what you do best - provide healing care.
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Dedicated Account Executive |
We assign a dedicated Account Executive to you to handle all aspects of your billing needs, entering charges, submitting claims, sending patient statements, following-up, and answering patient billing questions, and also function as the liaison between your practice and us. We will train your staff and educate them about all aspects of the billing process. |
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Reports |
Provide comprehensive monthly closing reports that typically include a summary of charges, receipts, adjustments, and refunds by doctor and/or payer and/or practice location, payment summary and detail, aged receivables by patients, payers, and insurance by service date or dates posted, procedure productivity reports, true reimbursement by contract and CPT.
* Submit and review the provider's monthly reports (a wide range of already-developed custom reports is available). |
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Book Keeping |
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Assist with CPT, ICD-9, and HCPCS coding to maximize reimbursement and minimize denials.
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LET US HELP YOU INCREASE YOUR REVENUE BY RE-NEGOTIATING YOU PRESENT INSURANCE CONTRACT, AND OR ADDING YOU AS A PARTICIPATING PROVIDER WITH INSURANCE COMPANY,
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Have you ever wondered what the purpose of credentlallng is and the necessity behind it? If so, you are definitely not alone. For physicians credentialing is a necessity in order to participate in managed care plans.
Managed care organizations such as health maintenance organizations (HMOs), preferred provider organizations (PPOs) and physicianlhospital organiZations (PHOs) must successfully select and retain qualified health care providers who will provide quality services to their subscribers. This process of selection and retention is known as credentialing. Credentialing is the process of review and verification of the Information of a health care provider who is interested in participating with a managed care organization (MCO).
Review and verification includes: current professional license(s), current Drug Enforcement Administration and Controlled Drug Substance Certificates, verification of education, post-graduate training, hospital staff privileges and levels of liability Insurance.
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Credentiallng and Recredentialing Services Include:
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Generate provider applications.
Mail and track receipt of provider applications.
Review applications for completeness (as defined by your organization).
Generate correspondence to providers, to obtain missing information or missing documents.
Obtain clarification from providers regarding application discrepancies.
Complete required primary verification.
Assess and flag problem areas in applications.
Note where the provider does not meet your organization's standards.
Produce credentialing and recredentialing profiles and reports.
Identify expired documents and obtain current versions.
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Managed Care Credentialing
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The fundamental purpose of credentialing is to ensure that applicants meet the minimum requirements for a requested status and to determine whether the applicant's credentials arl appropriate for the requested privileges within the MCO. Laws, regulations, and accreditatio standards increasingly require MCOs to carry out the same level of credentialfng that hospitals have long been required to carry out.
Most MCOs now establish requirements that practitioners must meet to become members of their practitioner panels and review the qualifications of applicants for panel membership against these requirements. Because MCOs typically handle many more applicants than most hospitals, the credentialing process must be done quickly and
inexpensively. Many MCOs have found themselves changing the way in which they do credentialing in order to respond to the demands of the constant changes in the health care industry.
The credentialing basics and their importance still remain the same. Effective credentialing, and fair hearing and appeal processes all provide several advantages for
an MCO. These advantages, at a minimum, include: risk management, accreditation, immunity from providers' lawsuits under the Health Care Quality Improvement Act and positive marketing those seeking to purchase health care policies, consumers, and potential member providers. |
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Under the theory of negligent credentialing, MCOs are responsible and can be held liable for exposing an injured subscriber to an unqualified provider by failing to conduct a proper credentialing review. They also undertake the risk that subscribers can look to collect damages
when the subscriber is injured due to the malpractice of a provider deemed later to be unqualified.
An MCO that exercises reasonable care in credentialing and monitoring its providers reduces its
risk of liability of a malpractice suit by one if its members.
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There are many managed care accrediting organizations. The most popular are the Nation Committee for Quality Assurance (NCQA), the Joint Commission on Acoreditation of Healthcare
Organizations (JCAHO), the American Accreditation HealthCare Commission (AAHCC), an the
Medical Quality Commission (MQC).In its inception, NCQA used to limit its accreditation to HMOs,
but has recently expanded to accredit Credentialing Verification Organizations (CVOs), Behavioral
Managed Health Care Organizations, and Physician Organizations. JCAHO, which started out as a
hospital accreditation organization, accredits all. Contact us for more Information. |
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Whether you're a new employer or already using another payroll method. our payroll specialists will assist you through the sign up process. We'll help you determine your payroll needs, walk you through the enrollment process, and provide payroll support when needed.
All you have to do is send us us your employee payroll information and we'll do the
rest.
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DBCS payroll Service offers everything you expect with respect to your payroll processing! We calculate employee withholdings, fiIe and deposit your federal, state payroll, and local taxes, and even send your quarterly and annual tax forms to the proper taxing authorities for you. You'll no longer have to worry about time-consuming payroll tasks or tedious paperwork!
DBCS Payroll Service offers:
Full compliance with tax authorities. We maintain all changes to tax rules and rates
W-2 processing
All federal, state, and local tax deposits are made for you.
All federal, state, and local payroll tax returns are remitted for you.
Our Service Center will research and respond to any Inquiries from tax authorities.
All checks are produced and securely shipped to you. Or you can print them right from your desktop.
Paying your employees via a printed business check or through direct deposit.
Employees can distribute pay to as many as four accounts using direct deposit.
We create journal entries for your Peachtree ledger.
Direct Deposit
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Why chance payroll deposit and filing penalties? We guarantee accurate, timely deposits and filings with federal, state and local agencies or we'll pay the resulting payroll tax penalties for you! We back our promise as long as the information you provide us Is on time, complete, and accurate and you're properly funded. |
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DBCS Payroll Service customers are guarantee to 20% less than there present service.
Get a Payroll Price Quote
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We successfully submit claims electronically to over 97% payers'. Claims are transmitted using an established National Clearing House. Claims submitted to Florida Medicare, Florida Medicaid and Florida Blue Cross and Blue Shield Plans are sent directly to those Carriers. Florida Medicaid payments are made in 7 days. For those with EFT agreements, payments are received on the eighth day after two o'clock in the afternoon. Florida Medicare payments are made in 14 days. |
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| Please Call NOW for more detail of service not listed here,
there’s no job 2 small we can’t handle. |
