SERVICES

Billing Services, Inc. (BSI) is a medical billing company whose first and primary objective is to maximize our physician’s income in a totally compliant environment.

Credentialing

Carrier participation, whether with commercial or government sponsored plans, can present an array of burdens on physicians and its practices which detract from patient care, in time and very possibly reimbursements. As part of BSI’s full service environment, your credentialing requirements are identified, implemented and maintained through our practice database which also interfaces seamlessly with applications such as CAQH and Aperture.

Charge Posting

BSI’s staff of certified coders, reviews data received from the office and works with the physician to maximize compliant billing of services performed. We verify entered demographic information and provide accurate and timely submission of claims. Clean claims are the ultimate objective, and when our staff works closely with yours, that goal is achieved.

Electronic Submission

BSI is HIPAA compliant in all aspects of their business. Electronic claims are submitted daily through the EMDEON clearing house. When available, BSI will also provide for electronic funds transfer directly to the physician’s operating account. BSI also electronically submits patient invoices on a daily basis to the person responsible for outstanding balances.

Payment Processing

The BSI payment processing staff reviews each payment on a line by line basis. We feel that once a charge is established and submitted to a carrier, there is an expectation that each CPT code or line item on the claim should be paid. If that is not the case, we would set out to appeal that denial. Each payment is also checked for accuracy based on the physician’s contracts with their respective carriers.

AR Follow Up

BSI has a team of professionals that not only respond to your patients’ calls and concerns; but also will call out and request those payments due to you. As in all departments, these people have been trained to understand the appropriateness of the coding and the expectations of the payment.

Financial Reporting

BSI provides a complete set of financial reporting documents each month. The report package includes the basics of charges and payments, as well as the detailed AR Aging Report. In many cases, more sophisticated reports are required which include charges analyzed by procedure code, linked to payments by insurance carrier and patient, computed on a date of service basis. Clearly customized reports are available and readily provided.