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Account Management Services
Billing & Collections Managed Care Contract Services Credentialing Services Practice Management Software Applications Support Account Performance Review Account Transition
Billing & Collections In-house Staff (No outsourcing) Dedicated account manager for your practice Professionals, experienced in coding and collections Accounts receivable status reports given daily, including all accounts Interacted with (charges, payments and adjustments) All payments posted, deposited and balanced on a daily basis All charges reconciled to patient schedule by end of each work day Adjustments on accounts taken in accordance with applicable Medicare, Medicaid,
and Managed Care contract allowables Additional adjustments taken on specific accounts (special circumstances on
patient balances) only after written permission from client Policies and procedures in place and adhered to by staff regarding all denials
and short pays Immediate follow up on all denials and short pays Exhaust all appeals in accordance with terms of applicable contract Seek resolution with Louisiana Dept. of Insurance and Department of Labor, if
necessary NO ADJUSTMENTS MADE ON ANY ACCOUNT UNTIL PROCESSES STATE ABOVE ARE
COMPLETED AND CLIENT PERMISSION IS OBTAINED IN WRITING
Managed Care Services Professional Contracting Specialist with seven years experience in contracting
for physicians, hospitals, and ancillary providers Contracts reviewed and issues/concerns identified and addressed with MCOs Recommendations made for existing contracts, based on strategic intent of group Insurance collections monitored against negotiated fee schedules Co-insurance and deductibles monitored to meet contract definitions
Credentialing Services Credentialing and re-credentialing applications completed and maintained on each
physician for all managed care plans Periodic reports, when requested, showing client participation for each Managed
Care plan
Practice Management Software PCN Health Network from WebMD, the most complete practice management system
available Incorporates a number of tightly integrated modules including patient appointment scheduling patient registration patient and insurance billing accounts receivable management and collections All Payor Solution from Envoy/WebMD for EDI claims processing (HIPAA Compliant) Ability to access software through secured client server network from each
office location
Applications Support On site software applications support for office functions (scheduling,
registration, charge posting)
“Shadow” function for remote system support SciNET
Inc., a division of Medical Manager/WebMD, is our single solutions partner for
software support, claims processing and computer networking support
Account Performance Reviews Account performance reviewed monthly with client
Various reports distributed covering
all aspects of accounts receivable
System capabilities allow for reporting by physician office location procedure codes Ability to customize additional reports, at client's request
Account Transition Conversion of Current Accounts At client’s option, MPS can convert current A/R into the PCN system Cooperation is needed from current billing company to ensure proper conversion Training Training provided to clients staff for proper use of scheduling and patient
registration modules Additional software training provided for administrative functions