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Coding, Billing and Accounts Receivable Audits
Don’t expect third-party payers to notify you that
you’ve under-coded a service or missed submitting a charge. It is
crucial that each claim submitted be coded and billed properly to ensure
prompt, accurate payment. You work too hard to let dollars fall through
the cracks – our job is to seal the cracks. We can code even your
most complex procedures to optimize reimbursement.
Billing and Accounts Receivable Management Services
Our experienced consulting staff provides ongoing monitoring
and management of your billing and A/R for an overall improved collection
rate. Armed with the latest information on coding, billing and computer
technology, we can help you and your staff become confident that every charge
is being captured and revenues are maximized.
Provider and Staff Coding Training
Keeping up with the constant changes in diagnostic and procedural
coding is a full-time job. Many successful practices recognize the benefits
of tapping into SHR for the most up-to-date information. Our coding experts
offer customized training for staff and physicians so that they understand
the complexities of this vital task and work as a team to code accurately
and appropriately for the highest possible reimbursement.
Statistical and Financial Key Indicator Tracking and Analysis
Monitoring and maintaining key practice statistics is an
integral part of practice management and the basis for all decision-making.
Tracking charges, payments, key ratios and statistics will help you keep
a finger on the pulse of your business and make short-term and long-term
plans that will move your practice in the right direction. We can develop
and implement a customized system for you to track the statistics that are
most important to you.
Fee Analysis and Fee Schedule Preparation
Setting fees properly is the first step in optimizing reimbursement.
Our billing and coding specialists will review and update your fee schedule
to ensure that you are being paid for the services you render.
Managed Care Agreements Evaluation
All contracts are not created equally. SHR will assist you
in signing only the ones the make financial sense for your practice. We
also conduct audits to compare what contracts call for in terms of reimbursement
versus what is actually being paid to your practice. Understanding insurance
plan rules and knowing exactly what payments you’re entitled to can
improve your collection rate.
Overhead Analysis and Budget Preparation
Where does all the money go? We will help you understand
and adjust overhead by carefully analyzing where you are spending your hard-earned
revenue. Based on your specialty and individual needs, we will help you
develop a realistic budget to manage future expenses.
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