A successful billing program is one that ensures appropriate attention to all levels of the complete billing cycle. MedCorp’s unique individual employee approach, performed in a managed professional environment, is built on a foundation of consistency, redundancy and transparency. Each claim processed is reviewed by several members of our Operational Staff, greatly reducing the chance of error.

• Charge Entry

  MedCorp provides the complete billing cycle. You enter demographic information on each patient and insurance information for each visit. Provide us with the charge information. We do the rest. Your MedCorp billing clerk enters charges on a daily basis, with checks in place to ensure that each patient encounter is captured for submission to the appropriate payer.

• Claim Submission

  Clean information in, clean information out. Why wait 2-3 weeks for a denial on a claim that could have been anticipated. With a combination of human expertise (certified coding specialist) and industry standard software, MedCorp has processes in place to

  1. Ensure acceptance of the claim by the payer, and

  2. Make appropriate corrections to claims that would otherwise be denied.

• Payment Posting

  MedCorp accesses payment information in one of two ways:

  1. Electronic Remittance Advice files (ERA’s), which are posted automatically to the patient’s financial account; and

  2. Paper Remittance Notices, which are forwarded to MedCorp upon receipt by the practice.

The ERA’s and Remittance Notices are heavily scrutinized by our Payment Posting Team and our software to ensure appropriate payment. If there is a remaining balance on the claim, or the claim was denied, it moves to the responsibility of our Accounts Receivable Team.

• Accounts Receivable

  MedCorp maintains processes on the front end of the billing cycle to limit the number of claims that are denied or underpaid. However, another level of rigorous follow-up is in place when denials do occur. Our experienced Accounts Receivable Specialists are trained and managed to identify the appropriate response to the varied denials that arise.  They also communicate with the other MedCorp Staff Members, as well as the practice staff, to prevent repeat denials in the future. Once it is determined that insurance has appropriately paid its allowed amount, there may be a balance due to the Patient.

• Patient Statements

  Having confirmed that all other payers have appropriately reimbursed the practice for a submitted claim, a remaining balance may be owed by the patient. In these instances, a statement will be generated with a detailed and patient-friendly explanation of the balance due.

• Reporting

  MedCorp strives to provide ample data in a clear concise format, so that the practice can make informed decisions concerning its growth and practice patterns. Toward that end, we offer:

  1. Transactions (charges, payments, submissions) are logged4161:47 and made available to the physician.

  2. Depending on the preference of the physician, monthly reports may include, but are not limited to the following:

     • Charges, Payments, Adjustments analyses

     • Other reports are available upon request such as:

       • Payer mix analysis

       • AR Aging by payer

       • Collections report