OUR SERVICES
Do you have a goal you’re trying to achieve but don’t know where to begin? Let me guide you. Take a look at the list of my services below, and contact me if you have any questions or special requests.
Billing Only
Claims are already coded by the client. We enter the claims information into the billing software and monitor each claim through the rev cycle process ensuring max and timely payment.
Pricing: 5% of generated revenue
Abstract Coding Only
Only abstract coding is required and billing services including follow up are not needed
$4 per chart
Abstract Coding & Billing
Abstract coding from the medical chart is performed following CMS guidelines and/or payor specific guidelines. Our billing only service is included in this option..
Pricing: 5% of generated revenue + $4 per chart
Denials Follow- Up
We troubleshoot denied claims and fix the error to generate max revenue prior to timely filing. Medicare, Medicaid and Commercial payors are included.
Pricing: 5% of generated revenue
Coding Tutor
Did you take the CPC exam, but didn't get your desired score? Let's review the problem areas to improve your score on your retake.
Cpc tutoring services available now. Tutoring services for CIC, COC, and CCS are pending
I focus more on customer understanding vs the time it takes to understand. The hour limit is an approximation
The first session is free using code FREETRIAL at checkout
Pricing: $25 an hour
Auditing
We audit claims and provide feedback and training as needed to ensure compliance and max revenue. Prospective and retrospective audits are offered
Pricing:
Prospective Auditing $4 a chart.
Retrospective auditing $7 per chart. 10 charts per provider. All eob's and all corrected claims will be needed.
If error rate exceeds 5% additional charts will be requested to review the full sample. 90% confidence and 25% precision is recommended. $2 per additional chart
Physician Enrollment Credentialing
The fee for this service is $100 per provider per application. The enrollment process will take about 30 days depending on the payor. This service will typically cost about $800 and will include payors such as UHC, Cigna, BCBS, Humana, Aetna, Medicare, Medicaid.
Step 1. Collect the required information needed to complete the forms
Step 2. Confirm the payors needed for enrollment
Step 3. Audit the application for accuracy prior to submitting to prevent delays
Step 4. Submit the applications
Step 5. Follow up with the insurance carriers
Step 6. Obtain the enrollment numbers from the insurance carriers
CPC Coding Prep
The course is broken down into 7 sessions that range from 1 to 1.5 hours per session. The purpose of the course is to understand how to select diagnosis codes, cpt codes, hcpcs codes, modifiers and how to apply coding guidelines. Each course is priced at $100 per session. Courses are virtual.
Session 1. Selecting dx codes
Session 2. Selecting e/m codes
Session 3. Selecting other e/m codes .
Session 4. Anesthesia, Modifiers, Radiology, Laboratory
Session 5. Injections, Medications, HCPCS
Session 6. Surgical guidelines
Session 7. POS codes, CMS 1500 forms, Practice tests