At Proactive Billing we undersand that when it comes to running a medical facility the last thing you need to worry about is your billing. The healthcare landscape is changing at a very rapid pace. These changes affect the billing process tremendously and need to be monitored on a daily basis. Choose us to ensure that your billing is being done properly and in accordance with all state and federal guidelines. Call Proactive Billing today.
We are committed to providing the highest level of customer experience and excellence.
Insurance eligibility verification is the first and most important step in the medical billing process. Facilities should always verify benefits prior to admission in order to provide services while avoiding administrative and financial issues later.
Proactive Billings verification specialists have expertise in determining which benefits would be most advantageous and beneficial for your facility. Our servces include:
- Rapid benefit turn around
- Comprehensive deductable, co-insurance/co-payment, out-of-pocket maximum and benefit limitations
- Information regarding patient responsibilities, pre-certification, policy exclusions & estimated reimbursements
managed care contracts
Proactive Billing continues to establish and maintain unique relationships with managed care companies allow us to offer our clients the competitive advantage in negotiating contracts. We will advocate to get your facility contracted at the highest reimbursements rates possible.
Proactive Billing works with treatment centers nationwide in order to improve the quality and length of stay for patients requiring authorization before rendering service. By doing so, we bring added assurance that not only a patient can receive authorized care, but a treatment center can expect reimbursement from various insurance carriers. Our services include but are not limited to:
- Establishing a utilization review program for new facilities
- Concurrent utilization review
- Review of medical records
- Perform necessary appeals
- Staff training
- Chart reviews
billing & collections
Our follow-up on claims is what truly separates Proactive Billing from the competition. Proactive Billings expert staff and cutting-edge medical software enable us to deliver the most efficient processing, management, and collection of your accounts. Our services include:
- Customized electronic claims processing
- Front end auditing to ensure error-free claims transmission
- Filing of secondary and tertiary insurance claims
- Submission of UB04 and HCFA-1500 claims for both facilities and individual providers
- Persistent follow-up on all claims
- Unparalleled custom weekly and monthly reports
- Monthly patient statements
Proactive Billing provides extensive customized business consulting services. Whether you are a start-up company or well-established, we will review your current processes and make recommendations to increase efficiency and profitablity. Our goal is to help your company succeed.
Staff training on the process spanning an insurance patient's admission and discharge. Detailed training on insurance verification to assure a complete understanding of benefits.