MEDELECT will tailor our services to meet your practice needs with the following:
ACCOUNTS RECEIVABLE MANAGEMENT
Full accounts receivable management services include:
*Establishing and monitoring annual reasonable fee schedule using Geographic Practice Cost Index by area;
*Ensuring you are compliant with your patient intake forms; assisting you with correct HIPPA, liability and
collection language.
*Collecting accurate information for submission of clean claims;
*Claims submission to all paysources, electronically or manually;
*Tracking claims from submission to payment;
*Rebilling and appealing inaccurate denials using all legal collection remedies, collecting full fee for service
payment according to paysource and contract;
*Patient Statements and soft collections; patient copayment, deductible and out of pocket maximum collections;
*Insurance Appeals;
*Convenient office pick-up;
*Daily, weekly or monthly deposits of provider payments;
*Record storage (7 years).
EXECTUTIVE BUSINESS MANAGEMENT
Executivel Level Report Functions
*Customized weekly, monthly and annual executive level reporting functions;
* Revenue Optimization;
*Cost analysis;
*Inventory analysis;
*Expense anaylsis;
*Utilization Review;
*Audits.
FRONT/BACK OFFICE ADMINISTRATIVE MANAGEMENT
Administrative consulting services include, but are not limited to:
*Scheduling;
*Insurance Pre-Authorization;
*Patient Out-of-Pocket Estimation;
*Satellite Front Office - answering incoming calls, offering 24-hour call coverage; messaging.
*All other administrative needs, which include front and back office.
CONTRACT NEGOTIATION & MANAGEMENT
All negotiation, including inital and renewal, with all insurance medical groups.
*Professional and knowledgeable representation for new and established clients with all pay sources and medical groups in your local area;
*Compensation negotiation by geographic location;
*Contract language monitoring;
*Contract renewals and renegotiations.
PROVIDER RELATIONS MANAGEMENT
Compilization of Provider Agreements and maintenance and correspondence with all insurance pay sources.
*Initial and Ammended Provider Agreements for all
paysources, including but not limited to Medicare, Medi-Cal
(Medi-Caid), Champus/Tricare, Blue Cross, Blue Shield,
HMO's, PPO's, W/C - MPN, Commercial Insurances and Private pay sources, including private patient contracts;
*Maintain open, productive lines of communication between your current and new pay sources, contact source;
*All correspondence with provider relations departments and representatives.
In today's healthcare industry, it is imperative to be knowledgeable in all industry regulations and this can be time consuming and costly.
MEDELECT's proven practice managment system will partner with your practice to ensure you are efficient, compliant and successful. We want to ensure your practice has every available means for success. We make it our priority. Please contact us today for a consultation.
605 G STREET
SUITE 310
LINCOLN, CA 95648
TEL: (916) 543-2824
