© 2017 PRACTICE SOLUTIONS, LLC

VERIFICATION OF BENEFITS

Many practices and our competition require Patients to research eligibility and benefits on their own. We want to provide a smooth customer service by verifying eligibility and benefits for you. Our powerful tools provide a comprehensive overview of benefits, eligibility, deductible, and co-pays. 

  • We verify eligibility and detailed mental health benefits BEFORE submitting claims.

CLAIMS PROCESSING

Our user-friendly software interface allows insurance information to be captured accurately to ensure a 95% first pass acceptance rate. The clearinghouse facilitates a smooth re-submission process.

  • Pre-billing

  • Verifying Patient demographics & insurance information

  • Confirming that authorizations are on file

  • Submitting claims electronically

PATIENT INVOICING

We know that requesting Patient copays can be difficult to manage and may even seem awkward for the Rendering Provider. Practice Solutions, LLC will send out statement charges and perform needed follow-up with patients to keep clean lines of care between the Patient and the Rendering Provider.

  • Emailing out Patient statements

  • Responding to Patient account inquires

  • Following up on past due invoices

FOLLOW-UP & APPEALS

Following-up on denied claims can be a time-consuming chore. Let us take care of it with the peace-of-mind that certified professionals know how to navigate the appeals process, and get you paid. 

  • Calling insurance companies to check on status of unpaid claims

  • Resubmitting unpaid claims as needed 

  • Filing appeals

PAYMENT POSTING

When payments are received from Patients or insurance, they can be properly assigned to the correct date of service with ease. Timely and accurate payment posting take the stress out of quarterly and year-end reporting. 

  • Entering payments & adjustments from insurance EOBs

  • Posting Patient copays

FINANCIAL REPORTING

Our customized, monthly financial reporting provides you a balanced vantage point of the fiscal health of your practice. Our reports help guide actions to continual improvement toward your goals. 

  • Access reports about the financial health of your practice

  • Insurance aging, Patient aging, monthly and daily summaries, and reimbursement analysis for different payers, and more

ONLINE ACCESS TO DATA

The software we utilize is completely cloud-based. This allows for easy access whether you are on vacation or in the office. Keep up-to-date with your practice no matter where you are. 

  • Look-up balances & run financial reports 24/7

  • Check the status of unpaid claims

  • Review session notes and treatment plans

Credentialing and paneling

Our team of experienced credentialing specialists can help you get on insurance panels and grow your practice. We can investigate any insurance issues you may be having and offer a clear solution to those issues. 

  • Credentialing for new and existing practices

  • Paneling services for commercial and government payers

  • CAQH set-up and maintenance

  • Consulting for any paneling issues

READY TO TALK TO US ABOUT HOW WE CAN HELP YOUR MENTAL AND BEHAVIORAL HEALTH PRACTICE WITH BILLING?