Services
Medical Ancillary Services tailors services to meet the needs of the providers. We will ask for a outline of needs and wants; we'll inquire about what you like and what you dislike about your current service and customize a service plan.
Verification
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Correct verification is essential to correct billing. Let us do the research to discover the correct carrier, your status with the PLAN, the correct mental health benefits, and the correct payer ID.
We urge re-verification at the beginning of the New Year, too!
Electronic Billing
Kareo is our practice management software and TriZetto is our preferred clearinghouse.
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Every provider profile is carefully audited at the end of every month to ensure that all appointments in the shared Kareo scheduler are accounted for and billed. No missed billing.
Documents
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Upload documents, such as insurance cards, face sheets, and driver licenses to your Kareo profile for quick and easy access. You can compare presenting patient with the uploaded photo ID and check insurance ID cards for changes. Upload 100mb per month at no cost.
Patient Statements
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Patient statements are an integral element in the billing process. By sending out monthly statements your patients can pay their remaining share of your contract rate in a timely manner. When the patient dollar balance gets too high, some patients will stop seeing that provider, and start up with a new provider. All patient account balances are reviewed for accuracy prior to sending statements. Monthly statements help to keep your patient balances accurate and reduce everyone’s stress trying to collect large or inaccurate balances.
Monthly Reporting
There is a plethora of standard and customized reports available to you at the end of each month.
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Four standard reports are sent at the end of each month showing the health of your practice.
Claim Follow Up
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No matter how hard the insurance verifiers try to ensure that every claim is filed correctly, processed and paid, there are always some claims that are denied. The patient’s coverage recently terminated, they have a COB issue, or any of a multitude of other denial reasons. Sometimes the insurance carrier just denies a claim incorrectly that they should have processed and paid. These denials cannot be dropped into a bottom desk drawer, allowed to accumulate and forgotten. All of these cases need to be reviewed and analyzed to figure out the cause of the denial. The cause of the denial is frequently not clear on reviewing the EOBs. Handling these issues in a timely manner is crucial to getting these claims re-submitted to the carriers’ for processing and payment.
Note to Self . . .
Contact Medical Ancillary Services today for a customized quote for my billing.
Posting
Posting payments correctly and in a timely manner insures the provider collects their full contract rate for the services performed for the patient. Posting is an important step in the accounting process and accuracy is a must. Posting is made up of two elements, payments from insurance carriers and payments from patients. Posting of patient payments incorrectly, or not all, can lead to very unhappy patients who will seek behavioral health services elsewhere. Posting Insurance Carrier payments can be a challenge as all carriers’ EOBS are different in data provided and layout of information. Expertise and care must be exercised that they are read carefully and posted properly.
Appeals Filed
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The last thing you want to have to do is file a written appeal after you have received a denial on a claim. We strive to reduce filing written appeals to zero, but when we have to we will research, write, and file an appeal on your behalf with an insurance carrier when they are treating the provider unfairly. Filing of appeals slows down your cash flow and collections by weeks, not days, and insurance carriers do not like to reverse their previous denials. We work extra hard in claim follow up not to have to file appeals.
EAP and Auth Tracking
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Keep track of your EAP visits and visit counts - such as Tricare and Triwest - with Kareo's tracking system. Your front desk will know exactly how many visits remain on the current authorization and can alert you when a renewal is needed. Visits are automatically reduced as we bill.