The NWI Times is reporting that Porter County has officially broken ground on the site of the new Porter Hospital. The new facility is being moved from downtown Valparaiso to a more centralized location in order to better serve the entire Porter community.
Photo and quotation are property of the NWI Times
Dr. Douglas Mazurek, who serves as president of the hospital’s medical staff, said the new facility is slated to open its doors in 2012.
We are excited to announce a new web based reporting system for our clients!
This system will be a library of the monthly practice report(s) that we provide to you for your practice. This is a secure system that will provide you and any other person(s) you authorize, access to your practice information. Your practice report will be in an Adobe PDF format and a link will be provided to download a free copy of Adobe Reader if the user does not have a copy.
The system was develop to:
Medical Contracting Services
We will act as your liaison with the insurance carrier. Many commercial insurance carriers will negotiate reimbursement fee schedules with providers. We will attempt to negotiate the contract on your behalf. We will review the contracts and provide you with all the information regarding the contract.
Ultimately, you are responsible for the insurance contract and you will need to approve and sign them, but our services will provide you with some piece of mind and remove much of the stress and time involved in negotiating.
Medical Credentialing Services
The credentialing process is combination of acquiring detailed information from each physician and the group practice (if necessary). The physician will be asked to provide us with all the essential information from his/her Curriculum Vitae (CV) as well as any previous practice affiliations and provider numbers. If we are credentialing a group practice the following information will be required: corporation information (FEIN, Date of Incorporation, etc), ownership, specialty(s), service locations, etc.
The physician/corporation information is entered into a database that will store and allow us to update it at any time. This database will automatically fill out many of government and commercial insurance contracts.
From start to finish the process will take from 60 to 180 days. Obviously this is dependent on the insurance carrier. One thing to keep in mind is that some carriers do not back date their application for participation in their network. Generally, the date they receive your application will be the date that you will become effective in their plan. For a new physician joining a group, it is imperative that this process start at least 90 days before the physician starts seeing patients to ensure that reimbursement will not be a problem.
If you would like help getting insurance contracts or getting your physician’s properly credentialed please use our RFB form to contact us.
Insurance Billing
One of the benefits of outsourcing your medical billing is having the ability to submit more of your claims electronically. Submitting your claims to insurance companies electronically allows your claims to be processed faster, to receive acknowledgements on them faster, and to resubmit your claims faster. Meaning your accounts receivable time will be reduced and you will get paid sooner.
Custom Data Services Insurance Services
We bill all major insurance companies and submit your claims electronically.
Our office uses a national clearing house to send patient claims daily. The clearing house will report back to us within 48 hours on the status of the claim; Accepted, Pending, Denied or Invalid. If the claim is denied or invalid, we will check the patient’s insurance information for accuracy by reviewing our records, contacting the physician’s office or contacting the patient/guarantor.
Many insurance carriers accept claims electronically. Unfortunately, there are some carriers that do not. These carriers will have their claims printed and mailed to them by our clearing house. And we will process the accepted, pending, denied, and invalid claims in the same manner that we process the claims that are sent electronically.
We submit all of our claims securely via a SSH certified file transfer protocol. This means that you don’t have to worry about how your claims reach their destination. All of our transfers are secure and encrypted which means your data is safe and HIPAA compliant.
To find out more about our insurance services or any of our services Contact Us to make a request for bid or to ask a specific question.
About Pre-Collections
Building relationships with your patients is part of our job. We believe that your patient’s visit hasn’t ended until their claim is successfully adjudicated and they are 100% happy with their service. Maintaining that relationship during difficult processes such as collecting on delinquent accounts is also part of our job, and can be a more delicate process. Our experience has allowed us to create a very unique and customized service that will allow you to implement a pre-collection letter package and plan that you feel will best suit your patients, and help maintain that positive relationship.
With our pre-collection service you will be provided with the flexibility to decide the number of letters a patient will receive explaining what will happen to their account if it remains unpaid. You will have the authority to decide what action will be taken on which accounts.
How do we do this?
Custom Data Services Pre-Collection Services
Our pre-collection services allow you to use a customized approach in sending your patients a variety of letters explaining to them what will happen if their account remains unpaid. You will choose the number of letters a patient will receive, and the contents of that letter from an assortment of pre-made letters that we currently have available.
Every month we will also provide you with a list of patients whose balances are overdue so that you can make a determination of placing the account in collection or suspending the patient’s account from further correspondence.
The flexibility offered with our pre-collection service is what helps build strong relationships, because you know your patient and their situation better than we do, and you can help us make their entire experience better.
To find out more about our services Contact Us to make a request for bid or to ask a specific question.
