InnovateU offers a selection of a-la-cart services to meet your medical billing and coding needs.

Front Office

Billable on a volume basis, can be added to Back Office/Revenue Cycle Package

  • Demographic Entry
  • Eligibility Verification
  • Know the eligibility prior to services rendered
  • Obtain pre-authorization as needed

Middle Office

Billable on a volume basis, can be added to Back Office/Revenue Cycle Package

  • Medical Coding
    • CPT, ICD-10
    • HCPCS

Back Office/Revenue Cycle Office

Back Office/Revenue Cycle Billable as a % of payments posted

  • Charge Entry/Charge Review including unbilled and exclusions
  • Claims Scrubbing & Submission
  • Paper Claims processing
  • EDI Verification Returned Claims Rejected Claims
  • Payment Posting
  • Denial Resolution
  • Insurance & Patient AR Follow-up
  • Patient Statement Generation
  • Collections Process
  • Month End Reporting
  • Toll Free Number for all patient inquiries

InnovateU offers a selection of a-la-cart services to meet your medical billing and coding needs.

Front Office

Billable on a volume basis, can be added to Back Office/Revenue Cycle Package

  • Demographic Entry
  • Eligibility Verification
  • Know the eligibility prior to services rendered
  • Obtain pre-authorization as needed

Middle Office

Billable on a volume basis, can be added to Back Office/Revenue Cycle Package

  • Medical Coding
    • CPT, ICD-10
    • HCPCS

Back Office/Revenue Cycle Office

Back Office/Revenue Cycle Billable as a % of payments posted

  • Charge Entry/Charge Review including unbilled and exclusions
  • Claims Scrubbing & Submission
  • Paper Claims processing
  • EDI Verification Returned Claims Rejected Claims
  • Payment Posting
  • Denial Resolution
  • Insurance & Patient AR Follow-up
  • Patient Statement Generation
  • Collections Process
  • Month End Reporting
  • Toll Free Number for all patient inquiries

 

Can you answer the following key questions in regards to your in house billing performance and processes?

1.) What is the process for returned claims and statements?

2.) How are zero payments posted, when do they transfer to the patient?

3.) How are denied claims posted and tracked. (33% of denied claims are never recovered)

4.) What is the process for underpayments and how do you even know if you were underpaid? (20% of claims are underpaid)

5.) How are rejections tracked and resolved?

6.) What is the process for bad debt write off’s? How much of your money is being written off every month that is not a contractual adjustment?

Based on the above questions, do you have the tools you need to ensure your revenue department is running at 100%? What about the knowledge and expertise to move forward? Contact us today and we will come onsite and help you navigate the answers to the above questions and many more. We will then design and execute an action plan to bring your revenue back to the top.

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Accurate medical billing is a staple in maintaining the financial health of a medical practice. However, it’s also incredibly time-consuming. If medical billing isn’t followed and re-worked in a timely fashion, billing issues can escalate quickly and will ultimately lead to a loss in revenue.

If you feel as if internal billing is unable to meet the demands of your growing practice, InnovateU can help. We will identify areas within your practice that fall short. Some of these might include: a lack of trained staff, billing processes that are outdated, staff turnover, utilizing inefficient technology. Not only will we identify these areas, we can also provide the resources you need to correct them.

The Next Level of Billing Services

Billing services are provided on a percentage of payments posted. Percentage fees are individually customized and determined according to the type of practice, specialty, monthly volume, and the length of contract. Fees are all-inclusive (telephone fees, CMS forms, printing, envelopes and all office-related expenses). Clients only pay for electronic claims submissions and postage costs related to their account if the monthly postage exceeds $50/month. With InnovateU, our staff completes the entire revenue cycle management process directly through your EHR software giving your practice complete transparency into how claims are being handled. We offer:

  • 24/7 Access to your claims
  • No long term contract
  • Dedicated and assigned team
  • Certified Professional Coders to coach and educate providers
  • Constant contact with your billing liaison
  • 1-on-1 monthly review of your account
  • U.S. based call center

With our denial management, tracking, reporting, and provider education, you can eliminate errors that lengthen the revenue cycle of your practice. With our medical billing services you get paid accurately and faster for the services you provide.

Compliance, Coding, and Risk Mitigation

If you’re looking to mitigate risk, improve charge capture, and enhance accuracy, InnovateU can help. Our experience with coding and documentation allows us to provide you with the following services:

  • Preparation and Analysis of ICD-10 codes selection
  • Compliance monitoring
  • Programs to enhance clinical documentation
  • Training and education specifically designed for your practice to cover documentation and coding
  • Ongoing support for coding production

Our Practice Knowledge

Our practice knowledge includes but is not limited to the following specialties:

  • Allergy & Asthma
  • Gynecology
  • Medical Oncology/Hematology
  • Obstetrics/Gynecology
  • Physical Therapy
  • UroGynecology