What Services are Provided by Plenum MD?
Serving our clients to the best of our ability is always our primary focus. Each client has a team of employees who are dedicated to serving each clients specific billing needs. If our clients have problems or questions, they can call us directly and speak to an employee, including the owner of the company, whom has knowledge of their account. All of our employees work in-house, in Houston, Texas, so someone familiar with your account is always available to answer your questions or address your concerns.
Click To Below Open:
Our medical billing services extend through the entire billing cycle, from verification of benefits all the way to final collection and closure of the claim. While most other billing companies require clients to do some or most of the leg work, Plenum MD personally takes on tasks such as verification or benefits, coding, charge entry, correcting and appealing denied claims, and much more. We also work with you and your staff on methods to improve efficiency on the front end, thus causing cost savings on the back end.
Successful medical billing services ensure proper care and attention to detail at each stage of the revenue cycle. At Plenum, our unique team-based approach to claims submission, claim follow up, and various collection tools is meticulously managed and created upon a foundation of consistency, redundancy, and full transparency.
Each claim processed is reviewed by several different team members, which significantly reduces the chances for errors and unnecessary claims rejection and denial. Our claims management and collection teams thoroughly reviews each of our client’s data to find ways to improve our overall efficiency and increase the amount of overall collections of each claim.
Key Features:
- Full verification of benefits on all patients prior to claims being submitted.
- Working with client as well as patients to obtain correct insurance benefits.
- Claims processing and resolution.
- Daily, Weekly, Monthly, and Yearly processing of all open, past due, current, and future medical claims.
- Daily, Weekly, Monthly, and Yearly processing of all payments received.
- Full-service call center for patients to call regarding any and all correspondence from insurance companies.
- Contacting and working with patients, state, and national payers regarding outstanding monies owed.
- Working with EHR system on any issues for claims submission.
- Includes the cost of billing software – Collaborate MD.
- Includes the cost of any supplies needed for additional and corrected billing as well as any necessary postage needed.
Payor contracting and credentialing is a complex task that many providers often try and manage on their own. Unfortunately, doing so often leaves a lot of money on the table and a lot of time wasted in unsuccessful attempts at obtaining these much sought after contracts and agreements.
The reality is, with professional assistance, the success rate of contracts being obtained increases significantly and the terms of the agreements always end up being more favorable to the client in the end. Our team prides itself on knowing what insurers look for in terms of what they are willing to negotiate and pay as well as what contract markets are open.
Our team also knows when payers are holding back, we do this every day, let us help you.
Key Features:
- Draft payor letters regarding interest and service differentiation.
- Contact each payor to discuss their contracting process and market availability.
- Obtain necessary provider data for completion of contracting and credentialing verification.
- Complete in-network participation requests and full applications as required.
- Provide feedback to clients, upon receipt and analyzation of contract terms and fee schedules.
- Negotiate final terms of contract with payor.
- Update any records as needed with payors.
- Submit and verify receipt of submitted applications with each payor.
- Follow up with each payor on the status of applications and provider further requested information.
- Conduct follow-up activities, document acceptance or rejections from each payor and plans.
Don’t need billing services?
Already have billing staff in-house?
Don’t need help with insurance payor contracts?
If any of these apply to you, but you need help increasing your monthly collections, if you are unsure if you are billing the correct codes, or even if you need help with your internal billing and collections process, but do not want to hire another full time staff member, we offer consulting services to help you improve processes, codes, and your bottom line.