Have Elite Medical evaluate your current practice procedures and policies. Let us show you how to better utilize your staff's knowledge and skills in order to optimize productivity and increase revenue. Is your practice currently following best practice procedures? Are you unhappy with your current medical practice software?
Do you audit your billing and financials yearly? Do you know if you are currently under coding or upcoding your claims? Are your patients being billed accurately and in a timely manner?
Enrolled with an ACO? Need help with AWV/ IPPE documentation? Are you getting all your bonus payments from your ACO program(s)? If you answered yes to any of these questions, you may need your templates and documents reviewed by our Risk Coder to evaluate your current billings to determine if you are missing potential revenue. If you are only billing the AWV or IPPE and a blood draw or just the prior, then you ARE DEFINITELY missing out on revenue. Your AWVs or IPPE have the potential of being billed at >$350 a visit.
Elite Medical has over two decades of experience within the medical industry. Have us perform a practice analysis today and start increasing your bottom line NOW. Let our certified coders perform your yearly audits, to ensure proper coding and billing based on carrier guidelines and edits.
Have concerns about your outstanding A/R? Is your current denial rate >2%? Do you know why? Are your days in A/R >45? Is your percentage of claims over 120 days more than 15%?
If you answered yes to any one of these questions, that is a Red Flag that needs to be addressed.
Elite Medical can assist in the increase of your cash flow, identifying the root causes, and implementing a more productive and efficient billing and Front End process to maximize reimbursements.
Current Athena customer? We can help with catching up on missed slips and/or cleaning up current Holds and Manager Holds in the practice worklist.
Call us to see how we can start resolving these concerns for you today.
Elite Medical utilizes advanced claims processing software in order for your claims to be paid the first time. With less than 2% denial rates and over 95% collection rate for over a decade. We submit all claims and rejections from carriers within 24 hours or less from receipt.
Not happy with your current medical software? We have the solution! We can recommend or include EHR software- EClinicWorks or AdvancedMD for large groups or Kareo for solo/small groups- with our Premier or Enterprise package. We meet with our clients monthly (Zoom Meetings) to review productivity and educate on practice performance levels and industry changes.
Elite Medical has maintained over a 95% collection rate for over a decade. Elite Medical calls on all outstanding medical claims every two weeks. We send billing audit reports every month to all our clients. Elite Medical uses Inbox health as an effective way to contact patients regarding outstanding balances. Elite Medical advocates for your patients with the insurance companies if ever a claim is not processed accurately.
Receive weekly, monthly, quarterly, and yearly practice analysis reports which include; collection rates by practice and provider, denial analysis, payer mixes, yearly comparisons, and benchmarks, in our Premium package.
Want to get started? Awesome! Complete the form below, and let's start getting you the money you deserve.
Starting a new practice? Great! Don't know where to start? We can help! Have us do your credentialing and contracting with carriers, so you can start seeing patients. Once we start your credentialing process going, have us help you organize your new practice. It's just that easy!
Receive 10% off Credentialing when you enroll in the RCM service.
Don't have a coder? Don't worry, you've got you covered. Let our certified coders review your notes to ensure proper coding and capturing of all services rendered. Not sure if your templates are complete or if you're not documenting enough. We educate all our providers and mid-levels on how they may improve their documentation in order to be reimbursed fully and accurately. No more worrying about undercoding or upcoding, missed codes for actual services rendered, etc.
Call us today, and let's get your practice started right!
Are you just starting your practice and need some accounting and human resource help? Elite Medical can assist you with that. We offer:
These services are offered separately or may be combined with any of our other services at an additional rate.
Chart Audit service plus an audit of outstanding A/R, with findings and recommendations.
Negotiate with an individual carrier to increase the current fee schedule with the group.
Obtain prior authorization and partial payments (if applicable), for procedures or continuation of care. The authorization will be uploaded into the patient’s chart, if applicable, and a message sent to the provider’s MA that and authorization has been uploaded and either approved or not approved (giving further instructions).
Medical record review for prior documentation and coding by the certified coder (Coder II)- Prior quarter review of 20 notes per provider with recommendations and findings.
The insurance Verifications Agent will review the list of patients within the system, no less than three (3) days prior to the date of service. The agent will confirm insurance coverage and contact the patient(s) when additional information or an image of the card is needed. The agent will contact patients with outstanding balances no less than three (3) days prior to the date of service to obtain a full payment towards their outstanding balance, or to set up a payment plan. The agent will send a list of patients the agent was unable to contact or verify to the office, on a daily basis. The agent will update patient demographics as needed and notate all patient communication: if full payment, a payment plan, or a message was left requesting a call back from the patient to obtain accurate insurance information. If the patient is coming in for a Medicare AWV or IPPE, the agent will verify if the patient is eligible for these services and notify the office according.
Specialty trained team, will take all appointment calls and schedule appointments per client specifics, and perform insurance verification (see Insurance Verification definition below). This will ensure accurate information is collected from the patient. The team will also assist with account balance inquiries and collecting outstanding balances and copayments at the time of making the appointment. If services fall within the No Surprise Act, the team will send the Good Faith Estimate and ensure the document is signed and uploaded to the patient chart prior to the time of service.