Giving larger practices the ability to outsource individual medical billing functions one at a time as hourly services

Targeted Service Hourly Billing

For larger medical practices and physician groups with internal billing staff and software, our Targeted Service Billing provides individual medical billing functions as outsourced, hourly services.

This flexibility allows COO’s and Practice Managers to continue using their internal software and augment their employees with one or more services exactly where needed.

Insurance Follow-up Service

Insurance carriers frequently deny claims improperly or fail to respond to claims at all. Your internal employees therefore are forced to spend an inordinate number of hours following up on unpaid claims.

Over time, an accumulation of small problems can result in a significant increase in accounts receivable (A/R) and diminished cash flow to the practice. Investing more employee time and cost is usually not a realistic option.

Our Insurance Follow Up Service solves A/R problems

  1. Our billing team performs any or all claims follow up for you

  2. You can use as many or as few follow-up employees as you need – and increase or decrease the number at any time on 30 days notice

  3. We access your claims data via spreadsheet (you send us) or you can have us login to your billing system to perform the work

Process Overview

  • Initial review of A/R report for obvious errors and potential corrections e.g. format of insurance ID doesn’t match carrier; submission to non-local BCBS plan; failure to apply CCI edits

  • Research claim through carrier website & phone calls to carrier
    Annotate follow-up report with research results

  • Annotate claim in the billing system with research results

  • Provide feedback to client and/or take appropriate action in billing system (if access has been provided) pursuant to practice rules. For example, write off properly denied claim; re-queue / resubmit claim; bill patient for COB

Demographic Entry Service

Your internal employees do not need to spend time entering patient demographic information into your billing system. Our team can perform this routine but time-consuming process for you.

  1. Our billing team performs any or all demographic data entry for you

  2. Pricing is per hour of production with no additional fees

  3. You upload your scanned data to us

  4. We login to your billing system to enter the data

Process Overview

  • Enter Patient Information

  • Enter Guarantor Information, as appropriate

  • Enter Insurance Information

Charge Entry Service

  1. The eMed Partners billing team performs any or all charge entry for you

  2. Pricing is per hour of production with no additional fees

  3. You upload your scanned data to us

  4. We login to your billing system to enter the data

Process Overview

  • Enter Charge Information – or review and approve charges transferred from your EHR system

  • Provide your staff with confirmation of completion of work or feedback on issues that require their involvement

Payment Posting Service

  1. The eMed Partners billing team performs any or all payment posting for you

  2. Pricing is per hour of production with no additional fees

  3. You upload your scanned data to us or we access downloaded payment data directly in your billing software

  4. We login to your billing system to post the payments

Process Overview

  • Post payments from paper EOB’s, ERA’s and any other source of payment information you receive

  • Handle denials pursuant to the same guidelines you use for your internal staff

  • Correct and resubmit claims or escalate issues to your on-site staff for resolution