BILLING

Having an efficient revenue cycle is so crucial to maintaining profitability and improving your financial stability.  For example, if it takes a practice more than 30 days to get paid, you may be at risk of having to write things off due to timely filing.  Healthcare practices are constantly faced with reductions in reimbursements so ensuring claims are filed correctly and never written off should be your top priority.  Here at West Virginia Health Partners, we can manage the revenue cycle for you while you focus on your patients.  This includes all steps of the revenue cycle process  including scrubbing claims, submitting to the insurance companies, completing all insurance denials immediately, posting payments and getting maximum reimbursement for your healthcare practice quickly.  

OUR SERVICES

We use various software and sites to determine and verify patient insurance eligibility to ensure all information is accurate for billing purposes.

Includes a review of gross fees, total receipts, adjustments/discounts/returns, accounts receivable, AR over 120 Days, AR Days Outstanding, and Unapplied Payments with a full comparison to the previous year to look at trends.

Reports are available for information regarding the payor mix and pay scales that are being utilized within the organization.

This ensures all coding is correct and that documentation supports the service billed. We look at both the medical and the accounting portion of the claim to determine if there are any errors.

Veryifying all coding is correct, ensuring fee slips match the exam notes for the date of service, and making sure claims are going out to the correct insurance carrier prior to submission.

  • Includes pre-scrubbing all claims before submission.

This ensures all coding is correct and that documentation supports the service billed. We look at both the medical and the accounting portion of the claim to determine if there are any errors.

Every denial is investigated to ensure we understand the exact reason for the denial. Errors and denials are tracked to regain lost income for any items not billed correctly.

Providing hands on and personalized business solutions that focuses on training and developing you and your team