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Our Services |
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- Full service billing management
- Claims collections and recovery
- Claims only
- Consulting
- Costs reports and taxes
- Authorizations
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Contact Us |
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Billing Address:
P.O. Box 452948
Garland, TX 75045 Physical Address:
1022 Green Pond Dr.
Garland, TX 75040
Tel : 972-495-6459
Fax: 972-495-6689 Email: info@baomedical.com |
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DME Medical Billing |
Our DME claims department fills a variety of needs for medical providers. This includes billing Medicare, Medicaid and all other payers.
Our employees are effective and thoroughly trained claims specialist. Our experience enables us to accurately generate claims for prompt
payment. Our effective follow-through relieves our clients for this costly and time consuming task. We provide ongoing follow-up by calling
insurance carriers for status and problem solving on unpaid claims. If that requires additional information, we contact you and let you know
specifically what we need. We will also contact ordering physicians or patients for needed information if so instructed. As we receive notices of
primary claims paid, we automatically bill the secondary claims. We print and mail monthly patient statements. We also do back billing and review
of any outstanding receivable incurred prior to our start date.
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Services :
- Entering and transmitting claims and CMN`s electronically (or on paper when extensive documentation is needed), posting of payments, deductible, and write-offs.
- Billing secondary insurers and patients
- Appeals of denied claims
- Follow up on unpaid or unacknowledged claims
- Automatic monthly billing of rental items
- Medical policy and coding assistance
- 1oth month letters
- Management reports
Process
- Your company will be set up in our software system with your information as to pricing, contacts, provider numbers
- We will send you any forms needed for electronic set up with any carriers with whom you are contacted as well as the usual carriers in your state.
- Incoming materials are sorted by the claims manager and turned over to claims analyst/s assigned to your account
- We will work with you and your staff to streamline the transfer of information to DME claims services. Mail, fax and email attachments are among the methods we use. We can provide you with a form or format to use or you can use your own
- Our claims analyst will contact you when additional or corrected information is needed
- If desired we can print and mail or fax CMN`s and their documentation requests to the physician with an explanatory cover letter. The supplier is ultimately responsible for having adequate documentation on file in the event of payer audits
- We will plan with you the best way to communicate with your staff when we need additional information so that there will be minimal disruption of your workflow. If we do not receive the information we need to file a claim, we will advise you that we inactivate the claim until the information is received.
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Management Reports
We issue monthly reports detailing our progress. Reports typically include accounts receivable by payer, detailed aged accounts receivables by patients, and cash journal, billing journal and executive summary report. Other reports can be generated upon requests.
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Personnel
Our staff members have an average of 5 or more years claims experience. Ongoing and new employee training is one-on-one in our office. Our staff also attends Medicare, Medicaid and trade association seminars. We access the most recent manual revisions and bulletins to make sure we stay current with the ever-changing regulations.
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Pricing
We offer a free registration. This covers all the set up activities including adding your company to our system, preparing EDI enrollment forms for your signature, setting up your price list, getting you any information you need to get started. We charge a percentage of the payments generated on claims we process. We do not bill our percentage until the provider receives the payments.
We input and submit provider’s claims to the various payers and the provider faxes or mails us copies of the remittance notices as they come in. We can use this method as long as we receive copies of the notices on a regular daily or weekly basis. We post the payments and then bill the provider for the percentage at the end of the month. There may be an additional charge if provider repeatedly fails to provide copies. The provider may set up a “lock box” account. All claim payments are sent directly to the provider’s bank. The bank sends us copies of the remittance notices. We post the payments and then bill the provider for our percentage. You can be assured that we pursue each claim to its proper resolution because our success is tied to the success of our clients.
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Responsibilities of the client/provider:
- Supply us with the provider EIN number, DMERC and Medicaid provider numbers as well as the appropriate provider information for the HMO`s and/or provider networks, in which you participate, so that we will have accurate billing information. There are also a few forms to assign to authorize us to transmit claims on your behalf.
- Please make sure to verify coverage and benefits for your patient before providing service. We will also confirm patients eligibility.
- Provide us with the appropriate patient information, including insurance id numbers, diagnosis, referring physician name, address, and NPI number, delivery ticket with dates of service.
- Familiarize your staff with coverage criteria, medical policy and utilization guidelines for your main products and payers. We will be happy to help you with this process.
- Provide us with copies of remittances and any claims related correspondence from insurance carriers.
We stay up-to-date on changes in the healthcare industry, and we inform our clients as we become aware of changes that affect their business.
We help our clients maintain compliance by alerting them if we see problems in documentation or CMN completion and by informing them if they need to refund a payment for any reason such as a duplicate payment.
We will upon request call and correspond with physician’s office. At your discretion, patients may call our office for information or explanation of claims or patient billing. In short we will work with you to develop a mutually beneficial business relationship.
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