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Health Care Billing
of St. Charles

Patient care is your focus.
Partnering for profitability is ours.

Revenue Management and Consulting Services


Surgery Center Billing - Solutions
Solutions
 
Health Care Billing of St. Charles
9323 Phoenix Village Parkway
O'Fallon, MO 63368
636-561-5030 x201
 
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Consulting Services

Whether you have an existing practice in need of "clean up" or are starting a new medical practice and are in need of a robust medical billing solution, click here to see the services we can provide to you.


 
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  • Staffing level evaluation
  • Staff competencies
  • Business office functions
  • Review of fee structure
  • Evaluate process for charge capture and charge entry

  • Information reporting
  • Billing and accounts receivable performance
  • Billing and practice management costs
  • Evaluate managed care reimbursement

General Services

Our general services are highly personalized and performed by our knowledgeable, intuitive professionals who anticipate challenges, provide solutions and identify needs. See a sampling of the general services we provide.


 
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  • Create a secure, HIPAA compliant connection with your facility's software to allow for all transactions, billing to be performed on your own system.
  • Provide access to IT professional.
  • Assist with system upgrades.
  • Continuous update of billing system information, including but not limited to:
    • User table set up
    • Electronic billing information
    • Dunning messages
    • Provider or facility set up
    • Insurance claim addresses
    • EDI Payor information
    • Insurance phone numbers
    • Insurance classifications

  • Work with business office to maximize timeliness of data exchange.
  • Perform "End of Month" close.
  • Provide End of Month AR Summary and Revenue reports.
  • Financial policy creation

Billing Services

As a billing solution partner, our comprehensive billing services will help thoroughly and quickly improve your bottom line.


 
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  • Detailed audit of patient demographic information.
  • Daily entering and billing of charge(s)
  • Daily submission of secondary claims within 24 hours of payment posting.
  • Coding will be performed to maximize reimbursement within correct coding guidelines.
  • 24-48 hours turnaround for coding finalization upon receipt of complete information.

Payment Application

From posting to refund and claims appeals, our team will utilize in- and out- of network expertise to ensure quick and accurate results.


 
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  • 24 hour posting of payments upon receipt of payment packets.
  • Identify overpayments and process refund request or deny refund request in writing.

  • Claim appeals for underpaid claims, In-Network and Out of Network
  • Claim appeals for incorrectly processed or denied claims, if needed

Insurance Follow-Up

Through analysis, coding and in in and out of network expertise we will process and perform follow-up communication and negotiation your patients' medical insurance companies to ensure full payment.


 
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  • Insurance claim follow-up performed on all claims in the 30+ AR Aging buckets, every 30 days.
  • Identification of "payor denial trends"
  • Review of denials, errors, payor rejections, delinquencies and follow-up to ensure proper action is taken in a timely manner.
  • Negotiate payment proposals based on client's guidelines.

  • Claim appeals for underpaid claims, utilizing our In-Network and Out of Network expertise.
  • Claim appeals for incorrectly processed or denied claims, if needed.
  • Claim resubmission, if needed.

Self-Pay

Increase A/R from your self-pay patients with our efficient payment processing systems.


 
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  • Patient statements processed weekly.
  • Develop and implement "Collection Process"
  • Pay follow up 30 days after initial monthly statement is sent.

  • Send Collection Letters.
  • Submission to provider, approval for collection agency placement for delinquent self pay accounts.