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CONTRACT BILLING SERVICES
- A/R Consulting Services
- Online Medical Billing and Coding Consultations
- Monthly, Quarterly, Semi-Annual and Annual Audits to ensure the accuracy of billing, coding and collections.
- Customized monthly Financial Reports.
- Analyze and use the correct modifiers to increase revenue.
- Analyze denials and create appeal forms that are customized to the practice’s needs.
- Consultations and training for the entire staff.
- Collection Management
- Generate monthly statements to patients.
- Generation of various reports pertaining to account receivables, insurance denials, charges and payment/reimbursement.
- Appeal claims or generate appeal letters on your behalf.
- Ensure a higher percentage of accurately submitted claims and a lower rejection rate.
- Third-party auditing of coding activities.
- Serving as an Independent Review Organization as required under Corporate Integrity Agreements.
- Consulting with clients’ attorneys in disputes involving coding.
- Training and education programs for all organizational levels, staff coder to physician.
- Development of coding accuracy standards as part of Group Compliance Plans.
- Coding assistance to expedite billing of backlogged accounts.
- Specialized or customized Coder training programs (individual or group).
- Staff augmentation.
- Permanent coding staff placement.
- Develop a Competitive Fee Schedule using Conversion Factors and Geographical Market indexes.
- Compare Current Fee Schedules with the average allowable by payer.
- Structure a Fee Schedule for physicians that are forming a new group
A special concern for hospitals and physicians is the ability to accurately bill and code for services rendered. At Sterling, we understand that accurate billing & coding requires not only training at all levels of an organization, but maintenance of current knowledge and adaptation to changing billing regulations and coding updates.
Our consultants perform assessments and audits on billing and coding activities to ensure compliance with these changes, followed by hands-on training based on the results. Our staff is able to conduct your audits directly or, when attorney-client privilege may be necessary, through legal counsel.
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In addition to offering audit services, we also provide education to providers on billing, coding, documentation, and Medicare’s regulations on Evaluation and Management (E&M) codes.
Sterling’s Billing and Coding services include:
