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SERVICES

BACK OFFICE ACUMEN
TO COMPLEMENT YOUR MEDICAL EXPERTISE

Our comprehensive menu of services enables our clients to look great to their patients while streamlining and simplifying their practice operations so they can do what they do best - provide quality healthcare services. Our clients include office-based private practices,  hospital-based faculty practices and departments, hospital owned practices, clinics, and other  healthcare providers. We work with most specialties. Read more about our services below; we invite you to call 845-634-6500 x226, 845-213-1490, email mberger@billofhealthservices.com, or use our contact form to learn more.

MEDICAL BILLING AND COLLECTIONS

Bill of Health Services works closely with its clients to create and support electronic and efficient processes relating to patient eligibility verification and registration, establishing of financial responsibility for the encounter, ensuring coding and billing compliance, preparing and transmitting clean claims, monitoring payer adjudication, generating patient statements via email and paper, assigning patient payments, arranging collections and much more. Electronic encounter forms and importing CSV spreadsheets are two means we use to eliminate paper and increase efficiencies for claim submission. We automatically sign new clients up for ERA and EFT payments.

COMPREHENSIVE REPORTING

There are important reports that every healthcare practice should run on a regular basis. Bill of Health Services ensures that all necessary reports are delivered every month and in the format that is useful. Ad hoc reports are provided upon request. Most reports are in an Excel format. Bill of Health Services staff is available any time to respond to questions about reporting and to provide clients with additional metrics and key performance indicators to enhance the financial viability of their practices or facilities. Reports are analyzed to recognize trends down to the payer level. This information has been used in negotiating updated fees with payers.

CODING AND COMPLIANCE

Bill of Health Services Coding and Compliance Division is singularly focused on ensuring that clients adhere to accurate and compliant documentation and coding practices. Since the inception of this division in 1998, we have worked to maximize clients' revenue while reducing regulatory risk through coding, bundling, documentation and consultative reviews. Documentation reviews are completed as part of our standard service offering for our clients. We also provide these services on a consultative basis to practices who are not clients.

EDUCATION AND RESOURCES

With our expertise and decades of experience, we provide our clients with a wealth of resources to educate their staffs to ensure adherence to the latest regulations, effective practice operations and payer incentives. We encourage clients to participate in MACRA, especially submitting MIPS measures (previously known as PQRS).
As a charter member of the Healthcare Business Management Association (HBMA), the company stays in the forefront of changes in the healthcare industry. This means that our clients have access to the latest information and processes and an inside scoop on governmental changes.

PRACTICE MANAGEMENT SERVICES

In this rapidly changing healthcare environment, maintaining a financially viable private practice has become challenging. Many private practices struggle to maintain independence. Our key, seasoned staff provide practice management services, working closely with clinical and administrative staff to ensure that the practice runs like a well-oiled machine.

 

NEGOTIATION SERVICES

Non-participating providers often receive negotiations at greatly reduced offers. Bill of Health senior staff analyze these offers on a case by case basis, and negotiate with payers, typically increasing reimbursement. This service is available on a consultative basis as well.

MEDICAL OFFICE CONSULTING

We offer consulting services to healthcare facilities and practices and attorneys. This includes, but is not limited to:

Coding and documentation reviews and reports

Evaluation and management code reviews and reports

Provision of services as an expert witness

Physician in-service education

Analysis of work flow and front desk operations

Negotiations with payers

Analysis of denials - this can identify problematic areas and trends

Analysis of accounts receivable

Practice management

Analysis of facility/practice work flow and communication among all staff (clinical and administrative)

 

ACCOUNTS RECEIVABLE MANAGEMENT

Our staff do not only accept the low hanging fruit. They tenaciously address denials and low payments on a timely basis through appeals. Denial trends are brought to the attention of clients via denial reports and specific coding issues.

ADDITIONAL SUPPORT FROM BILL OF HEALTH SERVICES 

Our experienced management and staff can help your practice with

Scheduling

Negotiations

Credentialing Services

Staffing Adjustments

 

Explanation of Benefits Denial Review

Bill of Health Services will review 5 recent EOB denials and report how we can improve your reimbursement results.

Please be sure to redact any Protected Health Information (PHI) on the EOB denials you submit.  You can upload up to five files totaling 2MB in size in jpg, png or pdf format.

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