Claims
- Do your claims get rejected?
- Missing PQRS?
- Incorrect modifier?
- Incorrect code for established patient?
- Receiving less money than you expected or no payment at all?
- Constantly sending overpayments to patients or worse sending out patient bills?
- Are your claims clean claims?
Communications
- Is your staff using up their time dealing with question on claims?
- Do other patients look uncomfortable when a upset patient comes in waving a bill?
- Are your phone lines being tied up with lengthy calls explaining a bill?
- Does your staff have the training and information they need to resolve a patient bill?
- Is taking the questions about a bill or claim out of the office right for you?
Eligibility
- Do you get all of your patients verified ahead of time for a smooth work day?
- Does your staff know how to interpret all of the different eligibility results?
- Do you get claims returned for bad authorization numbers?
- Denied because the patient is not actually a member?
- Is getting eligibility out of the office right for you?