We perform our services based on a percentage of revenue collected.
Percentages will vary based on the size and specialty of the
practice. There is also a one-time setup fee. ^
top
In addition to performing all aspects of medical billing/A/R
collection, Optimed will assign an account executive to your
practice, integrate practice computer systems to OptiMED’s
system using the web-based AdvancedMD program, review and/or
redesign the Superbill for cleaner claims, update the fee schedule,
train the front office staff (one hour of training is all that
is needed in most cases) and much more. See
the Services page for more details. ^
top
Once we obtain all pertinent practice information, it will
take between three to four weeks to get your office authorized
with the clearinghouse and ready for electronic billing. However
during this authorization process, we can continue to input
all patient charges and submit paper claims. ^
top
We will need four items to process claims: the Superbill, a
Patient Information Sheet, a copy of the current insurance
card, and referral information (when applicable). Because our
system integrates our office with yours, most of this information
can be viewed and printed from our office. All original documents
remain securely in your office. ^
top
Yes. All claims are sent electronically ensuring that your
claims are expedited and paid in the fastest and most efficient
manner possible. For those smaller insurance companies not
yet accepting electronic claims, OptiMED sends these claims
to the clearinghouse electronically where they are converted
to paper and submitted on your behalf. ^
top
Utilizing electronic submission, Electronic Remittance Advice
(ERA), and Electronic Funds Transfer (EFT), reimbursement can
be received in as little as seven days for some carriers. ^
top
All insurance payments are sent directly to the provider’s
office or other designated location (a lockbox, for example).
Copies of EOB’s and patient payments are then forwarded
to OptiMED via fax, mail, or electronic submission for proper
posting. ^ top
No. At OptiMED, we believe it is imperative that our offices
are electronically linked. This is why we will provide (at
no cost to you) full access to our web-based practice management
software. This software allows both offices full access to
the patient scheduler, patient demographics, customized reports,
and much more. ^ top
Yes, OptiMED prides itself on upholding the highest legal and
ethical standards in the healthcare industry. We have implemented
standards that HIPAA and OIG have set forth for third party
billing companies into our Code of Conduct and Compliance Plans.
Our complete Compliance Manual is available upon provider request. ^
top
It is our policy to mail four patient statements at 25-day
intervals with telephone calls being initiated at 45 days.
We will accommodate your requests and policies to accommodate
patient payment plans and collections turnover.
^
top
OptiMED will keep you informed of the latest changes with Medicare,
Medicaid, and other important healthcare policies and legislation
as well as HIPPA and OIG concerns. Through numerous association
memberships, seminar attendance, continuing education, and
peer networking we stay abreast in a constantly changing healthcare
environment—so you don’t have to.
^
top
Call today to set up a free initial
consultation:
Sarasota
(941) 927-2245
Boston (617) 803-7941
|
