BILLING & CLAIMS MANAGEMENT
We create a visit, post charges, payments and adjustments for any combination of locations, providers, fee schedules and payors. Our software supports traditional fee-for-service, as well as many forms of managed care and capitated billing, and keeps track of co-payments, deductibles and fee schedules across the network.
We can print patient statements individually, or consolidate medical billing by guarantor. We can view completed claim forms on screen before sending them electronically or printing them. We support federal, state and commercial claim edits to ensure that all required fields are completed and verified for accuracy. Prior to claim submission, the system will analyze claims and correct them, reducing the number of rejected claims. A higher acceptance rate means quicker turnaround and improved cash flow.
At 51 Oakwood, Inc., systems are in place that give our medical and radiation oncology clients a choice of standard management reports or customized reports tailored to their individual practice.
We maintain payor/provider relationship data, including payor background, type of contract, effective dates, capitation amounts and frequencies, fee arrangements, utilization information and more.
51 Oakwood, Inc systems capture and verify data regarding a patient's eligibility for services. Using electronic interfaces, our system can automatically connect to a health plan or central database to retrieve information regarding eligibility dates, excluded services, co-pay and deductible amounts, and bundled fee services.
You will feel better knowing that we incorporate security measures to prevent unauthorized access to your records and to maintain legal integrity.
Below is a sample of a custom report showing monthly charges entered by payor. 51 Oakwood, Inc can run reports of this nature by any other criteria requested by you or your accountant.
51 Oakwood, Inc.
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