Accounts Receivable Management
Lakeshore Medical Billing will perform all aspects of Accounts Receivable Management.
Medical Billing Services
Benefit Verification & Authorization Management
Our benefit specialist will contact your new client’s insurance company to verify specific benefits for the services that you would provide to your client. We will notify you or the client of what to expect as an out of pocket cost for the services that you will provide. We will also notify you of any specific authorization requirements that are necessary to proceed with treatment. In addition, LMB will keep track of the visits used for any required authorizations and notify you of when to recertify for an extension of visits.
Credentialing
Our office staff provides credentialing services to our billing clients. These services include the cumbersome process of completing applications and submitting data to insurance to obtain contracts. We will organize and submit the required documentation on your behalf so you can focus on seeing clients as soon as possible. LMB also provides Credentialing Maintenance Services, which includes demographic updates, CAQH attestations, and insurance recredentialing services.
Claims Management
Claims are worked from start to finish. Any errors, denials, over or under payments are addressed and worked right away. Monthly A/R reports are also run to keep follow up on claims consistent and timely. Denial management is consistently analyzed to prevent recurrent denials and lost revenue. Rejections or incorrect payments will be worked at every level until the accurate resolution is obtained.
Charge Entry
Our billers provide accurate and efficient charge entry for office visits and procedures. Every charge is reviewed before entry and any discrepancies will be addressed immediately. The majority of charges are entered within 1-4 days. Charges are randomly audited to insure accuracy.
Payment Posting and Deposits
LMB will post payments from all sources – patients, insurances, corporations and allocate them particular to each line item necessary. Payments are posted within 1-4 days of receipt. Our billers are highly trained in reading and evaluating EOBs.
Patient Statement Billing
Patient statements are ran directly from our office. We work on a timeframe that works with your office schedule. Statements are reviewed and statement messages can be specially created for each statement prior to mailing.
Insurance Claim Filing
Once charges are entered into our billing system, our billers submit claims to the clearinghouse the same day. There charges are again reviewed and scrubbed to insure clean claims.
Practice Management Reports
LMB will provide a monthly and yearly snapshot of charges, payments and adjustments. Additional reports can be generated as needed.