REIMBURSEMENT MANAGEMENT

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Improve the Financial Health of Your Practice

The primary focus of our Reimbursement Management Services is to maximize your practice’s revenue. Our coding knowledge, state-of-the-art technology, unparalleled accounts receivable management, and attention to detail allow us to improve your revenue stream while keeping you informed of changing regulation and reimbursement issues which may affect your business.

Our experience and information helps you protect your practice and position it for the future. Additionally, our reporting capabilities provide us with the information necessary to negotiate managed care and capitated contracts aggressively on your behalf.

Each service below may be customized into a package to meet your needs.

Comprehensive Accounts Receivable Billing & Collection

  • Charge coding – CPT and ICD
  • Electronic and paper claim filing
  • Payment posting and bank deposits
  • Patient refunds

Data Accuracy Verification

  • Scheduling audits for proper charge capture
  • Coding audits for proper billing
  • Payment audits for proper reimbursement

In-house Collection Program

  • State-of-the-art computer technology
  • Concise, easy-to-understand statements
  • Messages customized to the age of the account and payor involved
  • Insurance follow-up on delinquent claims
  • Legal account follow-up
  • “Self pay” and “pending medicaid” research
  • Patient collection call program
  • Relationship building payment plans
  • Reduction of collection agency expense

Collection Agency Coordination

Professional Fee Analysis

Physician Credentialing and Licensure Assistance

Payor Interfaces

Training for Customer Service Personnel

Certified Coders (AAPC)

“With Eggleston & Eggleston, our collection rates are among the best in the business. They are energetic, proactive and alert to any type of problem that you might imagine. We can call one day with an issue and by the next day, it’s taken care of. You can’t get any better. They do a fantastic job.”
   – David E. Thompson, MD ~ Anesthesiologist

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