Follow Up Process
Locally
- Claims are scrubbed daily before leaving the system using our dynamic Rules Engine.
- Beyond basic payer rules, our Rules Engine is built around the unique credentialing, billing, and reporting needs of your practice.
- The Rules Engine gives you added protection from errors that can occur at the practice.
- Our system gets smarter in handling your claims over time. As we learn the nuances of your account, the engine is updated to scrub for more minute errors.
- As the insurances change their rules or their agreements with you, we can adapt to ensure minimal disruption to your cash flow.
- Your claims will go through a second level of scrubbing when they’re sent out through our clearinghouse.
Algorithm
- We go beyond the standard 30-60-90 reports and strive to perfect the efficiency of our claim follow up.
- Our proprietary algorithm prioritizes claims on a number of key factors, such as the claims filing limit, appeals limit, and days since last follow up. This makes anxiety over filing limits and missed claims a thing of the past.
- The algorithm is refreshed daily, and claims are worked on by our Follow Up Team every day of the week.
Data-Driven Analysis
- Your dedicated Partner will work with you to design customized weekly, monthly, and quarterly reports that fit your practice’s needs.
- You can see your data the way you need to most; giving you the deepest insight possible into how your practice generates revenue.
- Coupled with our robust follow-up process, this data-driven approach allows us to successfully drill down and find your biggest claim bottlenecks. You’ll know why claims aren’t getting paid, and we’ll help you make the changes to improve your practice’s cash flow.
Control
Transparency
- For you to effectively manage and grow your practice, you need to know what’s happening. That’s why we’re committed to giving you complete control through unparalleled transparency.
- You are given full access to our system, and can easily track when each claim is created, scrubbed, sent, followed up, and paid.
- On top of our customized reports, you can use our reports generator to run just about any report you need to keep an eye on what’s happening with your claims
Our Guarantee
- We believe in putting our money where our mouth is. We are so dedicated to getting you paid, we guarantee to pay for any claims that are unpayable due to negligence.*
- So you can rest easy knowing you’ll always be paid fairly for your hard work.
Collaborate
Personal Meetings
- In addition to our phone and web support, our monthly meetings with our clients ensure clarity and communication.
Dedicated Partner
- Each client works with a dedicated representative to simplify service and communication.
Custom Reporting
- Our customized data analysis helps our clients get a more in-depth understanding into issues such as:
- Where does my money come from?
- What causes the biggest delays in my payments?
- Which of my colleagues refer me the most?
- What services am I losing money on?
- Am I being paid fairly by my payers?
- How does my practice compare to that of my peers?
- Custom reports provide insight that will help you implement changes needed to improve your practice.
- Our work does not stop when you get paid, we tirelessly strive to help you run a better practice.