Services
Need help getting started?
We’re here to make your practice setup seamless. From the NPPES and taxonomy process to selecting the right software for billing and scheduling, we provide the assistance you need to get started. If you’re dealing with past accounts receivables, we’ll clean them up, so you can focus on what’s next.
Consulting for New Practices
Starting a new practice or business can be challenging, but Knowledgeable Billing is here to guide you every step of the way. We offer expert consulting services to simplify the start-up process so you can focus on what matters most—caring for your patients.
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Guidance and Support: Receive expert insights and support for launching a successful practice or business.
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NPPES & Taxonomy Assistance: Navigate the NPPES and taxonomy process with ease to ensure compliance and proper identification in healthcare directories.
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Software Sourcing: We help you find the right, accessible software solutions for your comprehensive billing and scheduling needs, ensuring efficient management right from the start.
Financial Health Restoration
Are unpaid invoices or uncollected accounts receivable holding your practice back? Our experienced team specializes in cleaning up past accounts to enhance your financial health and maintain smooth operations.
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Accounts Receivable Clean-Up: We’ll work diligently to resolve past-due accounts, recover outstanding payments, and set your practice up for a more streamlined billing process going forward.
Revenue Cycle Management
Let Knowledgeable Billing handle the complexities of the revenue cycle, from verification of benefits to claims processing, payment posting, follow-ups, and account management. Partnering with us ensures that your billing is managed professionally and efficiently, leading to improved collections and reduced stress.
Benefits of Having a Billing Specialist:
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Verification of Benefits: Our team verifies patients’ co-payments, deductibles, annual visit limits, and more, ensuring accurate billing and minimizing surprises for patients.
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Claims Processing: We handle everything from entering patient demographics and insurance details to submitting claims electronically and via paper (if necessary), including secondary claims.
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Payment Posting: Our team meticulously posts payments and adjustments from insurance Explanation of Benefits (EOBs) and self-pay clients.
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Follow-Ups and Appeals: We proactively follow up with insurance companies on any denied claims and file appeals when needed, ensuring that nothing falls through the cracks.
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Account Management: We manage your patient accounts, sending outpatient statements, responding to account inquiries, and more, so you can focus on patient care.
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Monthly Reports: Receive specific and insightful monthly reports detailing your income and aged receivables, giving you a clear overview of your financial performance.
Credentialing
Getting credentialed with insurance companies can be a time-consuming and challenging process. Knowledgeable Billing offers seamless contracting and credentialing services to get you paneled with the insurance providers that matter to your business.
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Insurance Selection: Work with our team to choose the insurances you’d like to be paneled with for broader patient reach.
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Credentialing Support: We gather all necessary information and complete CAQH profiles and rosters if required, making the credentialing process smooth and hassle-free.
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Application Submission: We complete and submit credentialing applications to each insurance company on your behalf, ensuring accuracy and compliance.
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Follow-Up on Applications: Our team follows up with insurance companies to track your application progress, keeping you informed along the way (credentialing typically takes 30 to 180 days depending on the insurance provider).
Attestations
Maintaining accurate and up-to-date information in insurance directories is essential for ensuring smooth operations and clear communication with payers. Our attestation services keep your credentials in order.
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Insurance Panel Attestation: We ensure all insurance directories have accurate and up-to-date information, and we keep CAQH profiles current to avoid any credentialing complications.
