Services

Our services include:

  • Entering patient demographics
  • Coding, entering and submitting charges
  • EDI review – correction of rejected claims
  • Payment posting and reconciliation of bank deposits
  • Addressing correspondence
  • AR follow-up on claims older than 15 days
  • Patient collections – monthly billing, collection letters and calls
  • Dedicated phone number to handle all patient inquiries
  • Maintenance of cash balancing report

The billing fee includes all expenses related to billing, including software, document storage, EDI, patient statements and in house collection efforts are included in your fee.

  • Dedicated billing software
  • All EDI expenses
  • Patient billing
  • All costs related to in house patient collection efforts – phone calls and collection letters
  • A dedicated 800 number for all billing inquiries
  • Set up and maintenance of a secured connection for transmission of billing documents
  • A document management system which stores all your billing related files
  • Nightly backups of billing data and documents

Coding

Coding correctly is half the work. Coding legally and efficiently you can maximize profit per patient and save hours of phone calls to insurance companies that would have occurred through the denial of claims. When we take on a new practice we prefer to meet with the doctor once or twice a month, to go over any suggestion or questions we may have with their coding. By the second or third month the majority of all the coding questions and issues are resolved. By continually asking questions and doing research we seek out the best possible way to earn the most revenue legally allowable for our practices claims. Please note that we will always contact doctors or staff before any changes or suggestions are made, and it is up to the doctor to use our suggestions or not. We are merely advisors, and we understand our role completely.

We at NJHS, believe in working with 100% honesty and integrity, and we show you this by either remote access your system or giving you access to our system 24/7. This means you can see everything we do whenever you want.

From any computer at any time of day you can logon and check:

  • Aging Reports
  • Patient Statements
  • Patient Balances
  • Insurance Payments
  • Internal Notes and Messages
  • Ask us questions

How does NJHS implement success?

The simple answer is, We take existing policies and procedure modify them to suit current needs of the practice.

The two most common scenarios are:

  1. Your practice is using a perfectly functional and updated practice management software package. We will remote access onto your system to perform daily task. This requires no setup or changes to your current system. About half of our clients use our services in this manner.
  2. Your office is using an older system and is due for a change. We can then set your office up on a new EMR system, and we will work together on a universal system. The other half of our clients have this setup.

The main goal at NJHS is that we want you to feel 100% comfortable in which ever solution you choose to go with.

Invoicing

During the 1st week of the new month we generate a bill based on payments inputted into the system during the previous month. We will send you a packet with every payment inputted into the system along with a bill. What is unique about our invoices is that in the log of payments entered you will see comments written by us on certain payments. This is because we review every invoice log in detail to make sure we did not make any mistakes, and explain to you where payments are going such as deductibles, co-insurances, global visits, post-op visits, and capitated visits. We do this so you do not have to spend the time searching for this information later.

Patient Statement

On an Explanation of Benefits if there is a deductible, co-Insurance, or Coordination of Benefits denial we will automatically put the balance to the patient. If there are any other reasons specifically when insurance is termed, we always will ask the office staff or doctor what you would like us to do first, before billing the patient. We will send out a patient statement once a month for two months, and then on the third month we will make a phone call on your behalf. If at this point no monies are collected we will hand the bill over to you. We are not a collection agency, and at this point we do not get involved in seriously delinquent accounts.