The most important process in our HHA Billing are listed below
NOA and Final Claims. Scrubbing of claims and Claim submission after UTN and PECOS Verification. This Includes both Manual bills and Electronic submission.
Billing and Submission of HMO and Medicare Advantage programs. Scrubbing includes LUPA verification if required and other specific rules.
Exporting Oasis, downloading the accepted and rejected reports from IQIES.
We do posting of payments to respective accounts from the EOB, that we receive from the client. This includes all insurance (Mcr and Non-Mcr). As indicated in Laura’s email we do posting in all major software’s including EVV.
We do posting of payments to respective accounts from the EOB, that we receive from the client. This includes all insurance (Mcr and Non-Mcr).
We download them from all Medicare portals. For Non Medicare we do it from Insurance portals or other third party like Payspan or any other.
The most important process in our HHA Billing are listed below
Working of daily rejections, fixing them within 24 hours and resubmitting them electronically.
We handle the denial Management that is working all the denials, fixing them and resubmitting them within 72 hours. This includes initiating necessary actions on all denied claims. This includes correction\Resubmission, providing additional information and Appeals with required documents including reconsiderations.
This includes generating Monthly Reports and working on Unpaid claims, initiating appropriate action to get all unpaid claims processed for payment as quickly as possible. We also do Contract verification to make sure that all reimbursements are made as per the Provider agreement.
Usually some clients request some specific reports for Management reporting as part of the Financial planning.
Like Casper, Mecca, Star rating and any other are usually charged on hourly rates as per specific request.
