7. Comprehensive Services Electronic and Paper Filing Automatic Filing of Secondary Claims Coverage Follow-Up and Appeals Reports tailored to your needs
Editor's Notes
Some providers need a little more help than others when it comes to TRICARE and Medicare billing. Provider Services Inc. can assist you with complex coding issues, compliance and collection procedures to ensure the maximum return on services provided. We will work your claims to avoid or resolve any barriers created by government health entitlement administrators such as TriWest, HealthNet, Humana, and Medicare.We will work with your patients to expedite those payments to you.Our goal is to get you every lost dollar that should be put back into your facility, allowing you to better serve more veterans in need. If you are experiencing difficulties with your billing and collections or if you just want to save time, money and all the frustration associated with billing, Provider Solutions Inc. may be just the service you need.
Knowledgeable Trained TeamOur account representatives are thoroughly trained and are involved in ongoing, continuous education in TRICARE and Medicare billing activities, certification requirements and specific billing needs. Our staff stays current so that you don't have to.Experienced LeadershipProvider Solutions Inc., has over twenty years of combined experience in health care and over a century of military and corporate leadership. We put that knowledge to use in designing a model for success in the field of government entitlement benefit billing and collections. Proven Success RateIn the past year we have recovered over $9,000,000 in medical claims payments for the Oregon National Guard alone.
Reduced ErrorsBecause our staff is fully trained and experienced in processing so many government claims in many different settings, fewer errors occur. This translates to faster and more accurate claims for you.Aggressive Claims ManagementWe make sure your TRICARE and Medicare claims are paid quickly. For complex patient accounts, we will screen for any services that should be broken out into multiple encounter forms. Billable Service EvaluationWe will continuously monitor your billable services to ensure that you are getting the maximum reimbursement for your efforts from the government health entitlement programs.Coding RecommendationsWe will let you know immediately if you receive denials or reduced payments due to improper coding in order to rebill more accurately.
No Staffing Costs / TurnoverOne of the biggest headaches for any healthcare provider is maintaining a competent, motivated staff. Often, a good employee's tenure is all too brief, whether due to a lack of funding or due to the employee’s decision to move on. We take those headaches away!Great SupportProvider Solutions Inc. is always available during routine office hours (Pacific Time) to answer any questions that you may have.
Fixed RateWe charge a percentage of what we collect based on your coding and specific services you provide. No Hidden FeesWe charge you a percentage of the revenue we bring in. There are no hidden fees for reports or other routine services. You will know exactly what your billing activity costs you.Claim Payments Are Made Directly To YouYou can rest assured that your money is forthcoming. Payors send all payments directly to you — we never handle your money. We always want you to have the greatest confidence that your cash is safe.
Electronic and Paper FilingWe have the most comprehensive electronic filing capability in the business. More claims file electronically which results in faster payments to you. In addition, we charge the same rate regardless of whether the claim is filed electronically or by paper.Automatic Filing of Secondary ClaimsThere are no delays in filing government claims as secondary or tertiary. We handle that for you — fast and accurately.Coverage Follow-Up and AppealsWe work with TRICARE and Medicare to maximize your income. There is more to government claims management than filing the claim. These companies are skillful at slowing down the process and minimizing their payments to you. We will use all legitimate means to make sure that you receive the compensation that you deserve.ReportingProvider Solutions Inc. will give you standard reports that will track your financial activity. In addition, we will have the ability to generate very detailed specific reports at any time. Our reports will enable you to thoroughly analyze what is being billed. Some of the issues you can evaluate include:Procedure volumesDiagnosis trendsCharge trackingPayor mixPayments by Entitlement OrganizationActivity by providerActivity at multiple locationsAging of accounts Charge volume Write-off activity (charity? Ask Bud)Our reporting is very comprehensive and can provide you with any information vital to your organization. In addition, we can assist you in designing the reports that are right for your specific needs.
