Physicians Billing Solutions, LLC. works hard to get you paid. We ensure timely payment of your claims, follow-up and collection of payments from patients, accurate A/R reports and exceptional handling of patient billing inquiries.
INITIAL ACCOUNT SET UP
We manage all your paperwork and establish you with all insurance carriers. and process applications for Medicare, Medicaid and all commercial payers. We provide your office with all forms and documents. We train your front desk staff.
PROCEDURE AND DIAGNOSIS CODING
Medical billing is more than just submitting claims. Prior to transmission, each claim is professionally prepared, accurately coded, using the latest National Government Service policy for Procedure and Diagnosis Coding.
To maximize your reimbursement we can assist you in choosing the best possible code for services you performed.
ELECTRONIC AND PAPER CLAIMS PROCESSING
In order to eliminate the probability of denials and rejections, it is critical to send out “clean claims”. All claims are audited for accuracy by focused staff and intelligent software program. The goal is to send claims out correctly, right from the start.
We record payments from insurance claims and patients. All payments from insurance and patients shall be made directly to the provider.
The provider is responsible for providing Physicians Billing Solutions copies of all Explanation of Benefits, along with a log of payments in order that we may properly credit each patient's individual account.
INSURANCE FOLLOW-UPS AND APPEALS
We pursue all unpaid claims regardless of dollar amount. When necessary, an appeals process is initiated, this is known to reach the highest officials in the Governing Health Department.
We send out monthly patient statements to each account that has an outstanding patient balance of $5.00 and greater. In compliance with Medicare and other payers, an attempt to collect a patient co-insurance balance must be initiated.
PATIENT PHONE CALLS
All patient statements generated will be directed to call Physicians Billing Solutions for any billing questions.
PBS will do their best to resolve any questions or issues with the patient and will only direct calls to the provider's office if the patient is disputing the services provided to them.
At least two attempts to call the patient or responsible party for any past due balances shall be made with balances over $20.00 and over.
No account shall be turned over to an outside collection agency without the approval of the provider.
A signed financial responsibility form must be provided if the provider chooses to pursue further collection action.
A Copayment Matrix Excel Program for the local insurances such as HMSA, Medicare, UHA, HMA, HMAA, etc. is provided for your practice usage.
PARTIAL BILLING SERVICE
1. Emergency Billing – Old outstanding claims recovery