Services

Customized Billing Services

We tailor our programs to meet the unique needs of each client. Upon establishing a new client, we develop a database with two separate applications: billing and collection applications. This setup lets us simultaneously monitor billing and collections without overlooking any aspect. These two applications are integrated and cross-checked, virtually eliminating billing errors. As our clients’ practices expand and their requirements evolve, we adapt their applications by incorporating additional features to accommodate their changing needs.

Comprehensive Follow-up and Collection Services

Our customized collection software enables us to conduct precise and assertive collections. In today’s landscape, many insurance companies issue payments for multiple claims with a single check, resulting in messy and often confusing Explanations of Review (EOR). However, our collection system simplifies the process, ensuring accuracy: no unpaid procedures are overlooked, no double payments are processed, and no confusion arises between different cases or patients. The system is designed to prevent such errors. With a clear understanding of payments received and outstanding, we diligently follow up on every unpaid procedure, ensuring that medical bill payments adhere to the Official Medical Fee Schedule (OMFS). Our software facilitates OMFS comparisons with insurance EORs. Our meticulous collection process significantly enhances practices’ cash flow.

Appeals/Litigation for Bill Review Reductions

Each Explanation of Review (EOR) undergoes a thorough review, and we submit appeals to insurance companies for individual claims or pursue litigation if deemed necessary.

Workers’ Compensation Comprehensive Case Management

We deeply understand the guidelines, laws, CPT codes, and regulations of the Workers’ Compensation Appeal Board (WCAB). Our extensive experience and expertise in California’s Workers’ Compensation system guarantee accurate form completion and proper claim handling.

Workers’ Compensation Lien Recovery and WCAB Representation

We ensure that you receive payment for the services you’ve provided. Don’t let denial and objection letters intimidate you. We handle paperwork and lien filing and represent you before the Workers’ Compensation Appeal Board.

Electronic Lien Filing Services

Electronic filing expedites the submission of your lien to WCAB and provides you with detailed case status updates. For your practice, this eliminates the need for attendance at Board Hearings or payment to a Lien Representative on your behalf.