StraightLine can provide services to assist you in meeting Meaningful Use and Patient Centered Medical Home standards.

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Our Services

The Medical Group Management Association (MGMA) outlines the key
components of the physician billing process as:

Patient Financial Clearance

Check-in/Visit

Charge Entry/Post-Visit

Claims

Payments

Denials

Insurance and Patient Follow-up

Analysis & Reporting

Source: http://blog.mgma.com/blog/bid/30843/A-primer-on-the-physician-billing-process

StraightLine Medical Billing seamlessly integrates with your staff by building a personal relationship–
so the billing office feels like it is right down the hall.

Patient Financial Clearance

StraightLine Medical provides:

Access to online tools to verify insurance and pre-authorization requirements
Feedback for your staff to reduce data entry errors
We work with your front office to improve time of service collection methods

Check-in/Visit

StraightLine Medical provides:

Electronic transfer of information to eliminate duplicate data entry
Access to billing system to view patient balances and other data
Access to helpful and knowledgeable people, many of whom are former practice and office managers

Charge Entry/Post-Visit

StraightLine Medical provides:

Access to certified professionals (CPC & RCC)
Knowledge of the most current CPT, ICD-9 (ICD-10) and HCPCS information to ensure
your practice captures billable services
Audit controls to ensure all charges are captured

Claims

StraightLine Medical provides:

Timely and consistent filing of claims
Electronic submissions and error checking
Clean claim audits completed prior to claim submission reducing denials

Payments

StraightLine Medical provides:

Diligent review of reimbursement by carrier to minimize contractual write-offs
Submissions and crossovers for secondary/tertiary claims
Timely payment posting for immediate reporting
Handle all billing correspondence

Denials

StraightLine Medical provides:

Zero pay and line item denial management ensures all denials are reviewed
Extensive effort placed on the re-filing of denials and appeals – we don’t get paid unless you do!
Track denials by type and communicate trends to your front office staff

Insurance and Patient Follow-up

StraightLine Medical provides:

Attentive follow-up efforts for all insurance claims to maintain the lowest possible
AR balances – no claim goes untouched
Submissions and crossovers for secondary/tertiary claims
Electronic submissions of patient statements
Handle all billing correspondence
Patient collection efforts are customized to the practice’s philosophy

Analysis & Reporting

StraightLine Medical provides:

Daily charge and collection projections
Month end reporting including, but not limited to, charges, collections, AR, Patient &
Insurance by financial group, deductible trending, provider productivity and line item allowables
Virtually unlimited financial and utilization reporting using database queries and pivot tables

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