Continually improve the billing process &
ensure performance is within your goals:

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PERFECTURE

Flexible Transmission Certified Coders Issue
Resolution
Instant Submission Accurate with
In-House Audits
Effective & Efficient Comprehensive Reporting
Charge Capture Coding Quality Control E-Billing Payment Posting Collections Accounting


Collections - Perfecture's Medical Billing Service

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   Insurance and patient payments, EOB, and capitation payment posting, reconciliation and follow-up. Perfecture carefully manages it all including: duplicate billing errors, unbundling of charges, mis-coding, length of stay data, appropriate room charges and human error. Implementing Perfecture improves patient management and work-flow through the office by reducing distracting, burdensome activities.

  • Increase yield of collectible insurance claims through dedicated staff and consistent processing.

  • Check eligibility, send properly completed claims to the right payer, bill patients, record payments, track referrals, file and follow up on appeals.

  • Real-time interface flawlessly records deposits and transmits images of EOBs.

  • Periodic follow-up on all claims or claim-lines that have not been paid within pre-set time frame.

  • Speedy and proper adjudication.
  • Inpatient Hospital Bill Audits / Outpatient Provider Bill Audits

  • Physician Bill / CPT Coding Audits

  • DRG Validation Services

  • Repricing and Negotiation of Out of Network Claims

  • Contract Compliance / Implantables Review

  • Workers Compensation Bill Analysis

  • Development of Customized Reimbursement Protocols


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