Coding, Charge Entry and Claims Submission

• Experienced, certified coders with AAPC and AHIMA certifications
• Manual charge entry into our billing software
• Custom charge files for import into our billing software
• Manual charge entry into our billing software
• 99.9% coding accuracy
• Fast electronic insurance filing and billing services
• Checks and balances in place to ensure that all billable procedures are captured

Insurance Reimbursement

• Followup on un-paid and underpaid claims
• Provider enrollment and credentialing for dozens of private and government insurances
• Re-credentialing renewals
• Substandard insurance payment monitoring
• Continuous review of self-pay patients for Medicaid eligibility
• Fee schedule analysis and recommendations
• Payor contracting

Payments

• Insurance payment posting
• Process deposits through a bank lockbox or local post office box
• Secure client links for expedited transfer of client information

Custom Reporting and Analytics

• Customized financial reporting
• Customized monthly statistical reports and tracking of business activity and production

Patient Invoicing and Collections

• Creation and mailing of color laser generated patient statements
• Patient billing questions answered personally and efficiently
• Automated calls for patients with unpaid claims

Also included with our Billing Service

• MIPS reporting
• Electronic connections to numerous hospitals and EMRs
• Maintain and monitor HIPPA compliance
• Web page design and development
• Patient and surgeon surveys

In this day where companies are outsourcing overseas, ResourceOne wants to assure you that our services are performed in America according to American laws and guidelines.