Well begun is half done, the company directors being Physician themselves helped create a billing system that is service-oriented, client friendly and productive. Added to that is an easy to use encounter form creating an efficient billing service.
Medical Billing today is a complex process the ever-changing third party policies require specialized personnel to organize and run the service. The Kabot billing process includes automated entry and linkage of the service/procedure codes and the diagnosis codes by the system followed by complete scrubbing of the claim for any problems by the Billing Audit department prior to submission. The claims are submitted accurately in less than 24 hours after the services have been provided
Once the “clean” claims are submitted, the usual turnaround time for most of the electronic claims is less than 10 days. All the Electronic Remittance Advices (ERA) are entered the day these are received. The paper EOB’s received are entered within 24 hours of their arrival. This is as important a step as billing of clean claims, since any denied claims must be worked on immediately.
Any payment lower than the usual allowance for a given service is detected through automated reporting.
All such payments are immediately appealed.
The rarely denied claims are thoroughly analyzed and resubmitted with any corrections if needed or with appeals in less than 24 hours and the service maintains very close liaison with Physician’s offices and offices of the third party payers.
The system generates multiple reports including the financial reports these are very practical and useful for the clients. One example is the Monthly Comparative Reports for various services rendered. This report gives a one-page view of the practice for a whole quarter it does not replace the detailed analysis reports but gives an excellent over view of the practice to the physician and details could be followed through other reports.
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