Enter patient demographics (manual and hospital interface).
We will enter the details on all new patients in to the billing system.
Enter charges for hospital visits, procedures, supplies, etc
Using the billing sheet provided, we will enter all professional, technical and/or global billing into the system.
Transmit electronic claims and/or mail paper claims
We will transmit electronic claims, where possible and if the insurance company doesn’t accept electronic claims, we will print the claim and mail it to the insurance company.
Bi-level audit reports immediately and within 24 hours of electronic submission
HealthQuist’s billing software will scrub each and every claim to ensure a complete and ‘clean’ claim prior to electronic submission. Post-transmission, a 24-hour audit report is downloaded from the clearinghouse with notification of the insurance-specific errors / omissions.
Enter and reconcile insurance and patient payments
Daily deposits are balanced accurately. Checks continue to be delivered to the hospital’s administrative office.
Follow-up with insurance companies on unpaid / denied claims
If an EOB has not been received within 30 days of the initial billing date, we will initiate a follow-up call with the insurance company. Claim denials are handled by HealthQuist’s insurance contact specialist who review the EOBs and subsequently initiate follow-up calls with the insurance companies, contact your office in the event of missing information or bill the patient.
Provide toll-free number for patient inquiries
Patients will receive a patient statement monthly and included on the patient statement will be a toll-free 800-number for the patients to call if they have any questions about their statements.
Balance bill patients
We send a total of 3 statements to the patient. After the 3rd statement is sent, we will send a collection letter along with a note to contact our office regarding the outstanding balance and potentially setting up a payment plan. After 150-days – any patient that has failed to initiate contact, we will send to collections.
Provide periodic financial reports
A vast selection of financial reports are available to choose from. Based on the initial selection of reports made during the implementation process, we will send those reports periodically.
Hold regular meetings with Account Executive to review billing and collection activity
At your discretion, we encourage you to meet with your Account Executive on a monthly basis. He/she will sit down with you and discuss the specifics on your account.
Optional Services
Pre-Surgery Authorizations
HealthQuist offers this value added service to ensure clean claims are submitted to the insurance carriers. We will obtain pre-authorization for the surgery by contacting the insurance company.