Frequently Asked Questions!
Q. What is the procedure in providing the client
with the daily charges and collections
     performed for that day?
A.
Our account representative performs an “end of day”. This term is used by our office to
denote procedures
     related to balancing the account’s activities for the day and running reports related to
account activity
     occurring for that day. The client gets a series of reports:
    1) The Daily AR Control Report- this report shows
starting AR balance for the day followed by a daily
         summary of charges, payments and adjustments entered for the day.
The AR closing balance and the
         aging summary at the bottom of the page follows this information.
    2) The Daily Flow Report details all account activity for the day by individual patient account.
This flow is
         performed for all charges, payments and adjustments.
    3) The Daily Bank Deposit Report showing all checks deposited by method of payment.
    4) A Reversal Report showing all journal reversals.
Q. What controls are available to insure that all charges will be loaded into the receivables?
A. A system of checks and balances is created between the scheduling module and the charge module.
    The client or billing office can run a daily variance report that will show all patients who generated a
fee slip
    but not a charge.
Q. Is there a method to confirm that current billing rates are proper based on contracts with each
    third party provider?
A. Fee reimbursement tables are built for each managed care plan in which the client contracts.
As our account
    representative goes through the payment posting procedure, the allowable for each applicable managed
    care plan payment for the claim pops up for reconciliation by the representative. If a claim is short-
paid, the
    representative will leave the appropriate balance on the account and follow up with the insurance
plan.
Q. Is there a method Medical Provider Services uses to cost justify the services it provides versus
the current
    system in place?
A. Practice management software, software applications & training, software table development
and
    management, software maintenance & upgrades, and meeting software regulatory requirements are
    elements of our fee. If the client currently uses a software system for his office practice, then
the
client has
    to ask how much funding is required to support and upgrade the system? Who is responsible for
updating
    the tables in the system and how often is this performed? Training time for the practice
personnel to
    appropriately operate the patient scheduling, pre-certification, patient enrollment/registration and
fee slip
    generation, and charge posting modules are elements of our fee. Complexity of the training is
dependent
    upon the number of provider numbers in place, the number of offices established, and the number of
plans
    and payors the client has. If the client currently receives software support from the vendor, is
this support
    focused on billing outcomes with controls and monitors in place?
    Labor and material costs for billing activities are elements of our fee. These include payment
posting,
    adjustment posting, post office and bank
runs, related errands, end of day reporting & account
    reconciliation, claims processing, data backup,
patient collections management, statement processing, letter
    processing, postage, follow-up collections calls to patient and insurance.