Full Management Hybrid Solutions

Full Management Hybrid

This is where we will handle all of your status work, rebilling functions, handle patient calls if desired, send out hard copy claims, post payments for insurance companies that do not have automated posting, post patient payments, issue refunds, handle price changes to procedure codes, etc. The client has the ability to handle patient registration where all of the required billing information is captured and entered into the computer system.

The client also handles the patient checkout where in fact they are doing the actual billing and generating a walk out receipt for the patient. The client also has the ability to access any reports, inquire on any patient balances as well as look and maintain patient demographic and billing information.

What Does the Client Do?

  • The client enters all the patient billing information into their PC at their office which is connected directly to our in-house servers located in Novi, Michigan.
  • The client handles the check out where patient can get a walk out receipt and the actual billing itself is completed.
  • The client is responsible for entering all of the billing information, daily. This means that all patients who were seen by the doctor and had services rendered are entered into the system. When the staff goes home that day all billing is done.
  • Client is responsible for providing CRT with what ever billing informationit may need to rebill a claim.
  • Client adheres to the required OIG and HIPPA compliance issues.

What Does CRT Medical Systems, Inc. Do?

  • We provide you with 24/7/365 access to our billing servers.
  • We provide you with all of the necessary software to allow your own PC's to connect to our servers via the Internet.
  • We provide the necessary hardware relative to communication equipment that you may need in some cases.
  • We will file any electronic billing claims to insurance carriers that you enter into your PC to our system.
  • We bill your patients once a month which is done by breaking up the alphabet into four groupings. This way every week a patient billing run goes out. All payments of course go directly to your lock box/bank account.
  • We will handle all rebilling of rejected claims. This includes non-payments, reviews, rejections and frontend edits.
  • We handle all correspondence to the insurance companies for purpose of follow up.
  • We will mail out weekly any hard copy claims that are required. Any attachments necessary are included.
  • We will handle all patient phone calls regarding their bills if desired.
  • We produce all of the reports that you would like to have sent on a weekly and or monthly basis. You can also generate your own reports whenever you wish from your own PC.
  • Data backups are done daily with an offsite copy done once a week.
  • All payments for all insurance carriers are done electronically. Any manual posting of payments is also handled from remittance advice/vouchers.
  • All mandated insurance changes are included in your monthly fee. There are no additional or hidden costs.
  • We handle any operating system or hardware upgrades.
  • All communication on our end is handled and paid by us.
  • WE ARE YOUR BILLING and COMPUTER DEPARTMENT!

HBMA Healthcare Billing and Management Association

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