Medical Billing Services
MAKING YOUR ORGANIZATION FINANCIALLY STRONGER!
“ Tri-State Medical Group has allowed us to streamline our billing process and greatly improve our collection rate. The staff at Tri-State always goes above and beyond what is expected of a billing company. We have become a financially stronger organization and are better able to focus on our patient’s medical issues.”Jansen Orthopaedic
Billing Software Experience
TSMG offers billing services directly from your own software through remote or cloud base access, allowing for real time, accurate account data.
Privacy and Security
TSMG follows all compliance and HIPAA regulations. Your practice is protected by a Business Associate Agreement that follows the HITECH Act and Omnibus Rule. By utilizing your current software, we reduce the transmission of protected health information allowing all data to be scanned directly into your database.
TSMG helps eliminate software and clearinghouse rejections by reviewing all encounters for accurate coding and modifiers before claims are submitted. We also confirm all payers are properly loaded into your software and all codes are entered in the proper order on claims for maximum reimbursement.
Claims are submitted directly from your own software via electronic or paper submission. We monitor all claim logs and clearinghouses for rejections to ensure timely submission.
TSMG investigates all rejections and denials to determine the best course of action. We submit the proper documentation needed to support a corrected claim, re-determination, appeal or dispute to resolve the claim.
TSMG utilizes a financial lock box and online payer access to process all payments from Insurance companies, workers compensation and liability claims. We monitor all payments to ensure highest reimbursement.
TSMG also investigates and notifies the client of all over-payments and take-backs. We will take action to correct any claims to ensure proper reimbursement and notify the client of any valid refunds.
We monitor all claims over 30 days to ensure timely payment.
We will submit monthly statements to your patients and monitor all patient accounts over 90 days to ensure proper collections. We post all payments from co-insurance, co-payments and deductibles and assist with collection efforts by utilizing payment plans, precollection letters and soft collection calls. We notify clients monthly of accounts recommended for collections and assist in the collections process.
With TSMG utilizing the client’s own software, accurate data is available anytime. We will also send quarterly reports using data generated from the system that details the most accurate accounts receivable.
TSMG monitors all accounts receivable and recommends improvements as needed from collections processes to fee schedule changes.
Tri-State Medical Group can help you.
Contact Us Today!