| • | Super Bills We make sure that your Super Bill/encounter form has the information needed to submit a claim. |
| • | Fee Schedules In order to ensure that you receive proper payment from insurance companies, it is vital for us to have your fee schedules for the networks you participate in. |
| • | Batching Your Billing For each patient seen, your office will gather the Super Bill, a copy of the front and back of the insured’s insurance card, and a copy of the patient’s information sheet. |
| • | Deliveries We pick up billing from all of our clients located throughout the Chicago area (at our expense). If you prefer, we will arrange for federal express pick-up one to two times per week. Additional pick-ups can be scheduled at your discretion. |
| • | Data Entry Once your delivery is received, patient data and billing is entered within 48 hours. |
| • | Filing Claims All claims are filed through a clearinghouse that submits claims electronically or “drops” them to paper forms and mails them to the insurance company. |
| • | Payments When an Explanation of Benefits is received, the payments and contractual adjustments are applied to the corresponding patient’s account. For some major carriers, MedSurg is able to download payments directly into our system. This capability provides efficient payment processing. |
| • | Accounts We contact insurance companies if we do not receive a notification of payment or denial. In addition, we will contact the hospital for a patient’s insurance information when necessary. |
| • | Statements Patients are mailed statements at the beginning of each month. The protocols of statements and collections are done to your specifications. |
| • | Appeals In instances where MedSurg receives an incorrect payment or a denial by an insurance company, we follow an appeals process to insure you receive the correct reimbursement for your services. |
| • | Reports We currently assist offices located in Chicago, Oak Lawn, Evanston, Libertyville, Naperville, Palatine, Arlington Heights, Bloomingdale, Oak Park, Forest Park and Melrose Park. We realize that each practice is unique; therefore we customize our reports for you. We send you monthly reports regarding the status of your patient accounts, and the fiscal status of your practice. |
| • | Evaluation First, we meet with you to evaluate your practice and gather the necessary information to understand your EHR needs. |
| • | Proposal We create a custom proposal of startup costs, technology needs, ongoing costs and training requirements for your practice. |
| • | Implementation and Training We create a training schedule for your staff and provide on- site, hands-on training and assistance in bringing your practice live on the EHR system. |