Skilled Nursing Facilities

If you're a skilled nursing center that provides value-based care, it will only be achievable if you've got the right perspective in your organizational priorities. Patients today want greater personalization in their treatment and look for prompt assistance. An easy connection between your back and front office is essential and you will require specialized support particularly with Medicare qualified nursing center billing.

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The differentiator we bring to your nursing facility's skilled needs

Orient Services understands the claims adjudication requirements of the business more than any other medical billing and collections firm. We work with top Medicare Skilled Nursing Facilities and experienced with all major practice management and billing software available in the nation. We function as an extension to your ongoing healthcare billing requirements.

We offer our full support to ensure that you have the correct balances and checks with streamlined prior authorization. We also help you implement best practices to improve your denial management as well as a thorough accounting receivables recovery process.

Take a look into our AR management procedure

Our A/R follow-up services are designed to boost revenue collection for our customers. The process begins when the Provider has created and sent Health Insurance Claims (Electronic/Paper claims or manual HCFA Forms) to different Insurance Companies. Based on the type of transmission and the time frame after submission, we commence the process of following-up.

The key steps to follow in the follow up of Accounts receivable

1. Online Claims Follow-Up

Utilizing different insurance company websites as well as Internet portals for payers We monitor any outstanding cases.

2. Automated Claims Follow-Up (IVR)

When you call insurance companies directly by phone, they will be able to use an Interactive Voice Response (IVR) system will notify you of the status of any unpaid claims.

3. Insurance Company Representative

If required, calling an insurance company's live representative will provide us with more specific reasons for denials on claims if such information is not provided by the two methods previously mentioned.

HOW WE HELP:

1. Claim Correction and Resubmission

These are claims that are modified, corrected and then resubmitted as a amended claim to insurance companies. In these cases, the best effort is taken to resolve the issue in order to avoid charging the patient.

2. Patients' Responsibility

These are the claims that cannot be further investigated and the final invoice is given to the patient for payment collection.

The reasons behind providing the patient with a statement typically include In-Network costs and benefits that are not covered according to your insurance policy. Patients are provided with a statement that includes clearly outlined explanations for the amount due.

We're just an email to you We would love to share our experience and help you with your medical billing needs like none other!