BILLING SUPPORT

WHAT IS BILLING SUPPORT?

Billing support is an annual subscription that gives you one year of unlimited access to ask billing questions and to receive help with claim denials. Questions may be emailed or faxed. (If we can't respond the same day, we will respond by the next business day.)

Billing support is the equivalent of hiring a premier billing consultant to sit in your back office for an entire year……………for only $499.00!

CONSULTING

We provide both practice and billing consulting. If we can't come to your practice, we will come to your computer via a live meeting. You may purchase hourly consulting here. Details are listed below.

Billing support. What are the most common questions asked?

Am I billing this correctly? Is there anything else that can be billed in this clinical scenario?
Why did this claim deny? Why was this procedure or service bundled (denied)? How do I fix it?
Am I using modifiers correctly in this clinical scenario?
We used to get paid for this. What has changed? How do I get it paid now?
Have I calculated units correctly for this drug? Am I billing this correctly? Is there anything missing?
Should I change the sequence or order of the CPT codes? How would you bill these charges?
Should I split these services onto two claims? If so, how?
How do I bill unrelated charges during a global period? How do I find out the global periods assigned to procedure codes?

Billing / Practice Consulting

You may purchase hourly consulting to help resolve any issues or concerns related to your practice or billing. In addition to billing, we are also very adept in all aspects of practice management. With APT, you do not need an expensive, high profile consultant to get good, sound advice. The little time you spend with APT may prove to be time very well spent!

Our motto: Bill it right the first time! All practice employees support the quality of billing from patient check in until the claim is paid. When the practice functions as a team, including the physicians, great things can be accomplished. Revenue can soar when all of the little things are being captured and billed accurately.

Billing Consulting: We highly recommend that doctors take time to schedule a consulting session with billing personnel invited to attend. Every physician who has completed this exercise has expressed deep gratitude (as have the billing personnel). Physicians often stop billing for services based on something mentioned by a peer, when those services are still billable and payable when billed correctly………When it comes to billing, all of us need a refresher now and then…(doctors included)!

Practice Consulting: We specialize in assisting smaller practices and single practitioners achieve maximum efficiency. We offer simple, practical solutions for your practice. In addition to medical, we have extensive experience with counseling, psychology and psychiatry…………as well as chiropractic, physical therapy and more.

PLEASE NOTE: If you are a single practitioner and need help with employee training, let us help. One cannot overstate the value of a reliable, cross-trained employee (especially one who understands billing). We provide billing training for your specialty as well as front desk training and more. The right person is hard to find, but the right person CAN be trained!

Common occurrences found through simple consulting interviews:

The physician assumes they cannot get paid for a particular service, so they do not note it on the super bill (or electronic chart)….hence, it never gets billed or paid.
A small practice or single practitioner is struggling to make ends meet. Should billing be out-sourced or handled internally? How do I find the right employee to work in my practice? What is the best way to structure a practice like mine so we can cover all of the bases and minimize overhead?
The superbill is not clear, but the physician is too busy for the biller to track down. Let's say the doctor performed an excision and a simple closure (for example), but the closure was not noted. What does the biller do? Does the biller even know that the closure can be billed in addition to the excision? How much money would this (or something similar missed) cost a practice over time?
The practice does not have a good system in place to account for and track all of the drugs, supplies and tests used in the practice. It is often very easy for the front office to assume that the physician or back-office has noted every possible charge. What is the cost to a practice for occasionally missing such a charge? How do you catch these items?
The practice does not have a good system in place to confirm that electronic payments were made, even though the electronic remittances are being posted. Are these items being verified each month?
Is money being adjusted off that could be collected? Who looks at EOB's besides billing? How are your deposits prepared? Do your monthly income reports match what was deposited for the month? If not, why?
Delinquent accounts are not sent to collections in a timely manner. What is the time limit for sending patients to collections?
When does it make sense to take billing in-house vs. outsourcing?
When should a practice add a provider? What type? What is the best way to utilize a Nurse Practitioner? How do we bill these services "incident to?"
Is our practice doing all that we can to maximize our services and revenue?
Do we annually evaluate our insurance mix to see if we need to close panels, re-negotiate agreements or cancel agreements?
Do we need new practice software? If so, what do you recommend for our practice? What does our practice need…..if anything?