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Our reimbursement division has over 300 combined years of experience in medical billing, coding and collections. Through our diverse knowledge and experience, we will assess your current trends, address your immediate and long term needs and develop an implementation work plan with you to create a successful and profitable medical practice.

Our commitment will allow you more time and flexibility in the daily management of your clinical practice while having confidence that your reimbursement is being managed in a professional and effective manner.

Review our services, improve your cash flow and join a leading edge team of healthcare professionals.

Medical Billing
Our medical billing service offers you dedicated professional patient accounts representatives.

Accurate and timely billing of patient registration and charge entry services as well as individual client and patient attention.

Claims Processing
Our skilled Claims Support Team provides you with daily electronic claims and statement submission via our clearinghouse in addition to the review and processing of all secondary and crossover claims.

This team is focused and dedicated to payor follow-up and appeals. They utilize all resources through payor guidelines and specified contracts to obtain timely and efficient reimbursement.

Cash Posting
We will process all of your daily deposits through an automated lockbox service or directly through our office for your convenience. We offer electronic funds transfers, electronic payment posting and credit card payment services.

Our team reviews your fee schedules to assure accurate reimbursement with all contracted payors and appeal any low or inaccurate payments for full reimbursement. We also assist you in the implementation and processing of in-office co-payments.

Collections
Our determined collections specialists review your individual patient accounts and continually follow-up to obtain commitments and resolve outstanding balances and issues.

We consistently out perform industry benchmarks on collections performance.

Accounts Receivable Management
Our comprehensive accounts receivable management services offer you timely and efficient HIPAA compliant electronic medical billing with a dedicated team focused upon consistent follow-up of your accounts.

Your results are significantly improved cash flow, reduced days in A/R and less than a 2% error rejection rate.

RBRVS Fee Schedule Analysis
Our Resource Based Relative Value Scale (RBRVS) Fee Schedule Analysis offers an in depth review of your current fee schedules. Trends by payor, schedule effective dates and comprehensive research and review of your Current Procedural Terminology (CPT) allowables are offered.

Payor Contracting Services
Our payor contracting services analyze your existing contracts and advise you on renewing and amending outdated contracts to maximize your revenue opportunity and meet your contractual expectations.

Our contracting team will also assist you in the initial implementation of all new payor contracts.

Certified Coding
Our coding department offers a team of certified professional coders with multi-specialty coding experience.

Your team will review the completion of your documentation in order to meet all current CPT, HCPCS and ICD-9 coding and compliance guidelines as well as offer you educational assistance to ensure optimal reimbursement.

 

 

 

 

 

© 2009 PLexus Management Group Inc.