Billing
Medical/pharmacy/hospital Billing
After the patient visit is complete, the Alliance Medibilling team kicks into high gear to make sure you are paid quickly and you get all the money you are owed.
- Electronically processing all provider medical claims on a daily basis
- Re-submitting rejected or down-coded claims
- Billing for telemedicine
- Claim posting
- Complete practice analysis
- Coding & consulting services
- Physician & Facility credentialing (including Carve-Outs for facilities)
- Submission of appeals including No Fault PIP post service appeals
- Insurance follow up
- Managing insurance and patient aging reports
- Submitting monthly patient statements
- Patient follow-up with past due reminder
- Managing patient inquiries
- Prepare files for No Fault arbitration
- Retrospective & Prospective audit services
- Remote access accessibility
- Contract negotiating and re-negotiating
- Establishing UCR rates to maximize reimbursement
- Create, scrub, and submit claims
- Assign appropriate CPT/ICD-10 codes according to the operative report
- Assign Modifiers to optimize reimbursement
- Appropriately bill for nursing visits, per diem charges & refills for Home Infusion services
- Patient eligibility an authorization
- Entering patient demographics
- Submitting secondary claims
- Monthly reporting
- Rework and resubmit claims
- Monitor payments to be sure you get what you’re owed
- Print and mail or email patient statements
- Follow up on unpaid claims and appeals for medical necessity denials
- Post insurance and patient payments
- Conduct follow up on unpaid balances
- Manage fee schedule and contracts
- Provide detailed reporting on your financial statistics
- File Personal Injury Protection (PIP) arbitrations
- File Workman’s Compensation arbitrations
- Pharmacy benefits will be verified and determine if the specific medication is covered and reimbursed
- Pharmacy verification of reimbursements to assure appropriate AWP and fees are collected
How to Find Us
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