Professional Billing Specialists

New federally mandated changes are required of health plans, hospitals, facilities and other health care professions. The rules and regulations for medical reimbursements are continually changing. Our business is to monitor and adapt to those changes, with minimal impact on your practice.

• Compliance with all federal health care program requirements. We maintain full compliance with all federal health care program requirements, including accurately coding and claim submission.
• Regulation monitoring. Members of our staff continually monitor communications from government payers to ensure our billing practices remain within these regulations.
  HIPAA compliant. Our staff is diligent in protecting the privacy of individuals’ health information.
• Requirements met for claim submissions. Professional Billing Specialists provide claim submissions as required by health insurance contracts, state and federal health insurance laws, or the patient’s health benefit plan description.
• Scrutinize data and documentation for coding. Our certified medical coders are able to scrutinize all data and documentation in order to make sure that the correct ICD-9-CM and CPT codes are used to assure that your practice receives reimbursement for services rendered.
  Proactive approach for industry changes. Our staff is taking a proactive approach to assure that we are ready for future changes in our industry such as preparation for International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM).