If you could increase revenues by two to three times—without adding staff—would you do it? Many facilities and physicians have answered, “Yes!” by turning to Southern Billing Co.

 

Medical Billing Services

  • Verification of Benefits
  • Utilization Review
  • Reimbursement Negotiation
  • Billing and Collections
  • Patient Responsibility Collections
  • Appeals
  • Account Review and Analysis
  • CPT, ICD-9 and ICD-10 Coding
  • Insurance Credentialing and Contracting

We have the capability to transmit claims electronically to over 900 insurance carriers nationwide with both the CMS 1500 and UB04.

Claims are checked against updated editing criteria specific to each carrier. Claims are scrubbed 5 or more times before being submitted electronically to the insurance carrier. Often, electronic claims are paid within 10-14 days of submission.  We use appropriate CPT and ICD-10 coding to promote higher reimbursement. Also, we excel in electronic claims filing.

 

Why do our processes work so well?

First, our staff is highly trained. Second, we are committed to adding qualified staff as we grow in order to keep billing and collection representatives from becoming overloaded. We then monitor workload and productivity and make caseload adjustments as needed. Third, our innovative procedures ensure regular contact and prompt follow up with each and every request.

 

At your fingertips you get:

  • Maximum number of days for each level of care your facility provides.

  • Weekly revenue, status and utilization reports.

  • Frequent and effective claim follow up.

  • Prompt post of all payments to the appropriate accounts.

  • Verification of coverage, copays, deductibles and authorization automatically. 

 

Southern Billing Co.  Compliance Practices

Ongoing changes in medical billing and reimbursements have made it more challenging for healthcare teams to stay on top of claims. The medical billing outsourcing company you choose should know current trends, including:

BILLING CODES – With the tens of thousands of unique billing codes in use today, the outsourcing company you choose should be well-trained and code accurately

ONLINE MEDICAL RECORDS – Your medical billing outsourcing company should have HIPAA-compliant access to electronic health records to mitigate billing issues

EDUCATION AND TRAINING – American Medical Billing Association (AMBA) requires 15 continuing education credits annually, through courses, seminars and workshops

REGULATORY – The outsourcing company you choose should be compliant with laws and regulations including HIPAA, False Claims Act, Stark Laws, and Emergency Medical Treatment and Labor Act (EMTALA)

 

 

With such strong results—and excellent client reporting—SBCo is rapidly becoming one of the top recovery specialists in the mental health and substance abuse industry.

  • For professional handling of patient statements
  • For experienced account management staff that treats your patients with respect
  • For excellent procedures for claims filing and posting
  • For complete confidentiality

 

 

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