We offer a suite of value-added services that are not limited to the ones described here. We welcome you to contact us at JackPitrone@keystonerevenueservices.com to let us know how we can help address your specific practice needs.
Medical coding and claims submission
Ensuring your claims are coded efficiently and accurately is our primary focus. Our medical coders are NHA-certified and HIPAA-compliant. Using state-of-the-art resources to accurately code, submit and verify claims, we ensure you get the maximum revenue for your practice.
Submitting paper claims can drastically delay the time it takes for payment, with an average reimbursement timeframe of five to seven weeks. Using our electronic claims submission system:
- Reduces that time to two to three weeks
- Provides immediate confirmation of claims received
- Offers real-time claims status checks
Claims follow-up
Nothing is more frustrating than having to waste office hours dealing with insurance companies over claims denials and incorrectly processed claims. Instead of writing off charges or billing patients for denied amounts, turn to us for help. Using our extensive health insurance insider experience and knowledge of claims processing guidelines and medical policy bulletins, we handle the research and legwork needed to resolve these issues.
Eligibility verification
Through our secure, HIPAA-compliant website and software, we can receive patient information to verify their health insurance eligibility — saving you and your patients valuable time.
CPT, HCPC and diagnosis code verification
Within 24 hours of receiving relevant patient medical diagnosis and treatment information from you, we can:
- Run the codes through our coding system to make sure they are correct and won’t prevent the claim from being processed properly
- Check with the patient’s health plan, research policy guides and contact the patient’s insurance company to confirm that the coded services are covered
Invoicing and collection services
Getting claims processed accurately is only half the battle. Receiving payment from your patients for the portion of the bill they’re responsible for can often be a daunting task. It’s easy for us to handle your invoicing so that you don’t have to — and payments will still come directly to you unless you request otherwise. We also partner with a well-established collection agency to assist with collections of payment for long-overdue invoices if needed.
Appointment scheduling
We can customize an appointment scheduling system to meet your specifications — simply contact us to discuss further.
Reporting
Depending on your needs, we can provide reports for:
- Aging details
- Aging summaries
- Insurance analysis
- Collections