HCA is a full service medical billing company providing complete revenue cycle management. We offer several billing plans designed to work with all practices regardless of whether you use paper charts or EHR. In addition to basic claim processing and payment posting, we offer personalized support in key areas for the following specialties.
BIG CHANGES such as electronic records, Medicare quality reporting, and ICD-10 are reshaping the medical industry. Unfortunately, most providers do not have enough time or resources to prepare for these changes alone. At HCA, we help guide you through these challenges with regular updates and hands on support from our President and administrative staff. Furthermore, we continually monitor your account to detect problems, provide knowledgeable advice on topics such as best coding practices and expected reimbursement, and will build you a custom ICD-10 superbill. Most importantly, you will have our direct numbers so you can immediately contact us with any urgent issues.
FREQUENT COMMUNICATION is essential to a successful billing partnership. All too often, we hear providers complain that they never hear of a problem from their billing company early enough to prevent lost money. At HCA, we keep you up-to-date with pertinent industry changes that may affect your reimbursement. Plus, each week we send you summaries of your billed charges and a detailed list of any missing information or issues that are holding up claim payment.
Insurance Follow Up and Review
INSURANCE COMPANIES are experts at finding reasons to ignore, deny, or decrease payment for claims. Furthermore, they are now developing strict rules for appeals, such as requiring submission through approved forms or secure internet portals. At HCA, our experienced staff members know the most efficient ways to follow up on or review your unpaid claims. We have access to the best online portals and insurance forms to work your A/R in the most effective way possible.
STATISTICS are necessary to understand how your practice is performing. At HCA, we regularly provide you with the data you need to evaluate your profitability. Our reports include detailed financial breakdowns showing your outstanding balances, account aging, procedure productivity, and payer distribution. Upon request, we can also run custom reports for information on specific procedures, demographic groups, insurance companies, or other criteria to help you manage your practice.
Patient Billing and Service
YOUR CASH FLOW depends on your patients’ satisfaction. At HCA, we provide a convenient 800 number to handle all patient inquiries. Our customer service staff is trained in all aspects of the billing process, so they can quickly resolve most questions and issues without making the patient wait for a returned call. HCA is also partnered with Instamed, giving your patient’s the ability to pay their bill online and register for paperless billing. We also send your patients timely statements showing their charges, dates of service, payments, adjustments, and remaining balance.
HEALTHCARE REFORM has flooded the insurance market with new insurance products. Keeping up with these new plans while maintaining your current contracts can be a daunting challenge. At HCA, we provide you with information on the different insurance networks so you can make informed decisions on which plans to join, then guide you through the credentialing process.
YOUR BOTTOM LINE depends on both your receipts and your overhead costs. Many companies now charge providers for each claim or line item they submit, making you pay a fee even for the claims that populate your A/R. This up-front fee benefits billers, not providers. At HCA, we believe you should not be charged for claims that you do not receive payment on, so we calculate our fee from a percentage of your receipts. This method ensures that our fee is always in line with your actual revenue.