PROCEDURES FOR PROCESSING MEDICAL BILLING, COLLECTIONS AND PAYMENTS

• Our services will be provided at our office where the medical billing and collections specialist personnel will work in support of the practice for an effective management of all the medical billing, follow up’s, collections and payments posting. Should patients contact your office in regards to any of our services, we ask they be directed to our office. Should patients contact us regarding an inquiry other than our services we would refer them to your office.

• We have the flexibility of using your current medical billing software via remote connection or offer the use of our software system. (Med Star)

• Our Services Include: capturing patient demographics and insurance information, posting of charges, editing and submission of claims to carrier or insurance companies, posting of payments, monthly carrier or insurance follow up, patient billing, appeals, collections of outstanding balances and professional consultations.

• Billing Process: super bills or encounters would either be picked up or received via mail, e-mail or faxed to Omnimanager, Inc; charges will be entered and claims edited - claims will be submitted (electronically or on paper) - explanation of benefits (EOBs) and payments received by practice should be forwarded to Omnimanager, Inc. for proper posting of payments - carriers or insurance payments will be posted - when applicable, secondary carriers or insurance will be billed - patients will be billed as necessary. All payments will be received and deposited by practice as to maintain control of all funds - reports with a statement will be generated on a monthly basis and delivered to practice at closing of the month - all open charges will be followed thru with carriers or insurance companies.

• We strive to collect 100% of what our clients are legally entitled to according to allowed amounts stipulated in contracts with respective insurance carriers. We expect our clients to be paid what they have rightfully earned. Our fee is based on what is collected monthly, not what is billed, our client rates are based on volume generated by practice at agreed upon monthly rates ranging between 4% to 7%. Collections services are provide for self-pay patient or balances outstanding for 90 days or over from the date of service at a flat rate of 30% of want we collect monthly.

• We offer a variety of reports to best suit our customers’ needs. Clients typically choose the format and frequency of reports on a weekly, biweekly, or monthly basis.

• Once we have a mutual agreement of rate.  We request the acceptance of a “Billing Service Agreement” which outlines the terms agreed upon as well as our mutual responsibilities, A “Business Associate Agreement” which is A HIPPA document stipulating HIPAA requirements. In addition, a “Practice Profile” which is filled out by the client outlining information such as tax ID, state license, Medicare provider number, etc.