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Professional Practice helps shoulder the burden of compliance, enrollment, billing, records management, and accounts receivable follow up. Enjoy the confidence that a strong and predictable revenue cycle brings.
Professional Practice helps shoulder the burden of compliance, enrollment, billing, records management, and accounts receivable follow up. Enjoy the confidence that a strong and predictable revenue cycle brings.
Checking all the right boxes is important, but what happens when the solution isn't found in a box?
Billing
Billing
Standard Billing Services include:
Standard Billing Services include:
Electronic Claims
Paper Claims (when required by the payer)
Electronic Payments
Benefits Checks and Price Estimates (see below for details)
Primary and Secondary Claims Processing
Patient Billing - Electronically or on Paper
Claims Follow Up (Denied & Rejected Claims Management)
Monthly Aging / Accounts Receivable Reporting
Price Estimates / Eligibility & Benefits Checks
Price Estimates / Eligibility & Benefits Checks
- Gain clarity for you and your patients on the financial cost of treatment.
(Included with standard billing services)
Eligibility verification
Patient Price Estimates within 3 Business Days
Electronic Claims and Payments
Electronic Claims and Payments
Sending claims and receiving payments electronically speeds up your cash flow and strengthens your business.
Sending claims and receiving payments electronically speeds up your cash flow and strengthens your business.
(Included with standard billing services)
Professional Practice completes and submits the enrollments required for electronic claims and payment.
Payments are always deposited directly into your bank account.
Monthly Reporting
Monthly Reporting
Monthly reports showing claims paid, claims outstanding, revenue, and charges billed
Monthly reports showing claims paid, claims outstanding, revenue, and charges billed
(Included with standard billing services)
Reports are delivered securely to your email inbox monthly.
Numerous additional customizable reports available to make the financial side of your practice transparent.
Scheduling
Scheduling
Online scheduling connected directly to your patient and claims data to streamline your record keeping.
Online scheduling connected directly to your patient and claims data to streamline your record keeping.
(Included with standard billing services)
Create and manage appointments from one online platform, making data entry fast and reducing errors.
Add automated patient appointment reminders for an additional fee.
Credentialing & Contracting
Credentialing & Contracting
Gain clarity in working with insurance payers as a contracted provider.
Gain clarity in working with insurance payers as a contracted provider.
(Included with 'Enrollment' - Credentialing & Contracting)
Professional Practice can reach out to insurance companies to initiate credentialing and contracting for your practice.
Close follow up with payers through the credentialing and contracting process to ensure that your application is being considered and managed in a timely way, and any additional information that a payer may request is provided right away.
Documentation of the process and the payer's determination for accurate and organized records.
Flat Fee. Credentialing and Contracting (aka "Enrollment") projects are billed at a flat fee to help you manage your budget.
Recredentialing
Recredentialing
Most payers require recredentialing every 3 years to continue as a contracted provider.
Most payers require recredentialing every 3 years to continue as a contracted provider.
(Included with 'Recredentialing & Demographic Validation')
Professional Practice tracks your deadlines, and reaches out to the payer if no recredentialing request is received to ensure your contracts don't lapse.
In most cases, we can complete your recredentialing without asking you for any information or paperwork.
We collect documentation of each approved recredentialing application to ensure your records are complete.
Demographic Validation
Demographic Validation
Most payers require demographic validation every 90 days.
Most payers require demographic validation every 90 days.
(Included with 'Recredentialing & Demographic Validation')
Professional Practice submits provider demographic validation timely and according to the payer's requirements for format and content.
We keep records of what we submit, when, and where, providing due diligence and ensuring you remain compliant with the terms of your contracts.
Additional Services - Outside the Box
Additional Services - Outside the Box
Sometimes, the solution isn't found in a neat little box or wrapped with a bow.
Sometimes, the solution isn't found in a neat little box or wrapped with a bow.
(People don't fit in boxes.) People are dynamic and the healthcare industry is constantly changing.
Professional Practice regularly does research to inform and help practices adjust to changes implemented by the industry, utilizing your current workflow as much as possible.
Talk to us about your goals for your practice. We may be able to help by sharing resources, streamlining plans, and trouble shooting with you.
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